National Provider Identifier
Vincent A Derosa, M.D.
Vincent A Derosa, M.D. is listed in the NPPES registry with a primary specialty of Ophthalmology Physician in Jamestown, NY and a listed phone number of (716) 483-0355.
Profile Overview
- NPI
- 1629395496
- Provider Type
- Individual
- Primary Specialty
- Ophthalmology Physician
- Enumeration Date
- May 03, 2010
- Last Updated
- May 03, 2010
Practice Location
- 2652 Widdy Bostwick Lane
- Jamestown, NY 14701-9111
Phone: (716) 483-0355
Mailing Address
- 2652 Widdy Bostick RD
- Jamestown, NY 14701-9111
Specialties
- Ophthalmology Physician (207W00000X)
Full Record
- NPI
- 1629395496
- Entity Type
- Individual
- Last Name
- Derosa
- First Name
- Vincent
- Middle Name
- A
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 2652 Widdy Bostick RD
- Mailing City
- Jamestown
- Mailing State
- NY
- Mailing ZIP Code
- 14701-9111
- Mailing Country
- US
- Mailing Phone
- (716) 483-0355
- Practice Street Address
- 2652 Widdy Bostwick Lane
- Practice City
- Jamestown
- Practice State
- NY
- Practice ZIP Code
- 14701-9111
- Practice Country
- US
- Practice Phone
- (716) 483-0355
- Enumeration Date
- May 03, 2010
- Last Updated
- May 03, 2010
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Ophthalmology Physician (207W00000X)