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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LISA ANN DEROSA, PA

Active

LISA ANN DEROSA, PA is a Physician Assistant healthcare provider located in MANORVILLE, New York. NPI 1942887393 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · MANORVILLE, NY

Registration Details

NPI Number
1942887393
Provider Type
Individual
Gender
Female
NPI Issued
Mar 24, 2021 (5.3681157081474 yrs)
Last Updated
Mar 24, 2021

Practice Information

Address
6 PALACE CT
MANORVILLE, NY, 119493131
Browse NY providers · Browse ZIP 11949
Phone
6319056771
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in MANORVILLE, NY

Name Credential NPI
MRS. VALERIE LYNN COTSALAS P.A. 1356500581
DENISE M KARAVAS PA 1144553348
JESSICA PETCHONKA PA-C 1518360536
KIMBERLY MUZZONIGRO PA 1386001725
KAYLA RAE SCHRAGE PA-C 1295461002
LILIANA SAUNDERS 1518794551
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.