person
Dr. Charles A La Rosa, MD
Vascular Surgery Physician in Bay Shore, New York
NPI 1619900438

Charles A La Rosa is a Vascular Surgery Physician based in Bay Shore, NY and is specialized in Vascular Surgery. Charles A La Rosa practices in Bay Shore, NY and has the professional credentials of MD. The NPI Number for Charles A La Rosa is 1619900438 and holds a License No. 167344 (New York).

The current practice location address for Charles A La Rosa is 15 Park Ave, Bay Shore, NY and can be reached out via phone at 631-581-4400 and via fax at 631-277-3750. You can also correspond with Charles A La Rosa through the mailing address at 15 PARK AVE, BAY SHORE, NY - 11706-7381 (mailing address contact number: 631-581-4400).

Location: 15 Park Ave, Bay Shore, NY, 11706-7381
person
Provider Profile Details
NPI Number
1619900438
Provider Name
Charles A La Rosa
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
15 Park Ave, Bay Shore, NY, 11706-7381
Phone Number
631-581-4400
Fax Number
631-277-3750
Provider Enumeration Date
07/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
167344 01 NY LICENSE
01480831 05 NY
institution
Provider Business Practice Location Address Details
Address
15 Park Ave
City
State
Zip
11706-7381
Phone Number
631-581-4400
Fax Number
631-277-3750
person
Provider Business Mailing Address Details
Address
15 Park Ave
City
State
Zip
11706-7381
Phone Number
631-581-4400
Fax Number
631-277-3750
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
License No.
167344 (New York)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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