National Provider Identifier
Andrea L. Derosas, M.D.
Andrea L. Derosas, M.D. is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Buffalo, NY and a listed phone number of (716) 816-2515.
Profile Overview
- NPI
- 1588631485
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- March 01, 2006
- Last Updated
- July 08, 2007
Practice Location
- 400 Forest Ave
- Buffalo, NY 14213-1207
Phone: (716) 816-2515
Specialties
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1588631485
- Entity Type
- Individual
- Last Name
- Derosas
- First Name
- Andrea
- Middle Name
- L.
- Credential
- M.D.
- Mailing Street Address
- 400 Forest Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14213-1207
- Mailing Country
- US
- Mailing Phone
- (716) 816-2515
- Mailing Fax
- (716) 816-2066
- Practice Street Address
- 400 Forest Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14213-1207
- Practice Country
- US
- Practice Phone
- (716) 816-2515
- Enumeration Date
- March 01, 2006
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X)
- Other Identifiers
- 00025948403 (NY, Univera), 000526772003 (NY, Bc/Bs), 0411408 (NY, Iha), 02282635 (NY), 151079BJ (NY, Preferred Care)