Mrs Lynn Marie Derosa, is a
Occupational Therapist - Pediatrics based in Yaphank, New York. Mrs Lynn Marie Derosa is licensed to practice in New York (license number 008713-1) and her current practice location is
53 Hancock Commons, Yaphank, New York. She can be reached at her office (for appointments etc.) via phone at
(631) 786-5474.
NPI number for Mrs Lynn Marie Derosa is 1235274945 and her current mailing address is 53 Hancock Commons, Yaphank, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1235274945.
Healthcare Provider's Profile
| Full Name | Mrs Lynn Marie Derosa |
|---|
| Gender | Female |
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| Speciality | Occupational Therapist - Pediatrics |
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| Location | 53 Hancock Commons, Yaphank, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1235274945
- Provider Enumeration Date: 02/20/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mrs Lynn Marie Derosa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235274945 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | 008713-1 (New York) | Primary |
| 225XP0200X | Occupational Therapist - Pediatrics | 008713-1 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Lynn Marie Derosa is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Lynn Marie Derosa,
53 Hancock Commons,
Yaphank, NY 11980-2008
Ph: (631) 786-5474 | Mrs Lynn Marie Derosa,
53 Hancock Commons,
Yaphank, NY 11980-2008
Ph: (631) 786-5474 |
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