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Alexandra Derosa
Student in an Organized Health Care Education/Training Program in Tonawanda, New York
NPI 1861954679

Alexandra Derosa is a Student in an Organized Health Care Education/Training Program based in Buffalo, NY. Alexandra Derosa practices in Tonawanda, NY. The NPI Number for Alexandra Derosa is 1861954679 and holds a License No. (New York).

The current practice location address for Alexandra Derosa is 76 Gettysburg Ave, Tonawanda, NY and can be reached out via phone at 716-254-0349.

Location: 76 Gettysburg Ave, Tonawanda, NY, 14203-1009
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861954679
Provider Name
Alexandra Derosa
Credential
Provider Entity Type
Individual
Gender
Female
Address
76 Gettysburg Ave, Tonawanda, NY, 14203-1009
Phone Number
716-254-0349
Fax Number
Provider Enumeration Date
04/01/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
76 Gettysburg Ave
City
Tonawanda
State
New York
Zip
14223-1630
Phone Number
716-254-0349
Fax Number
person
Provider Business Mailing Address Details
Address
76 Gettysburg Ave
City
Tonawanda
State
New York
Zip
14223-1630
Phone Number
716-254-0349
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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