MS. DEBORAH DEROSA, LCSW

Social Worker - Clinical

Active Individual
NPI: 1366512873

Practice Address

1000 MAIN ST
Port Jefferson, NY 11777

Phone: (631) 589-2389

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes 73075144 (NY)

Frequently Asked Questions

NPI 1366512873 is the National Provider Identifier for MS. DEBORAH DEROSA, LCSW, a Social Worker - Clinical provider located in Port Jefferson, NY. This NPI was enumerated on November 9, 2006.
MS. DEBORAH DEROSA, LCSW practices at 1000 MAIN ST, Port Jefferson, NY 11777.

Quick Facts

NPI
1366512873
Type
Individual
Enumerated
Nov 9, 2006
Last Updated
Jul 8, 2007

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