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DR. MICHAEL PETER DEROSA DC
NPI 1386723559
Chiropractor in Lawrence, NY

Active since November 06, 2006
208 LAWRENCE AVE, LAWRENCE, NY 11559(516) 239-5405 Get Directions Write a Review

NPPES record last updated: January 28, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Michael Peter Derosa Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL PETER DEROSA DC (NPI 1386723559) is an individual chiropractor in Lawrence, New York, licensed in New York (3982) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1386723559
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. MICHAEL PETER DEROSACredential: DC
Location Address208 LAWRENCE AVELawrence, NY 11559-1207
Mailing Address208 Lawrence AveLawrence, NY 11559-1207 · (516) 239-5405
Phone(516) 239-5405
Sole ProprietorYes
Enumeration DateNovember 6, 2006
Last NPPES UpdateJanuary 28, 2013
✔ NPI 1386723559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NY · 3982
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
208 LAWRENCE AVE, Lawrence, NY 11559
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Other Identifiers 1

Medicare ID-Type UnspecifiedX2473100NY

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Derosa's NPI number?

The NPI number for Michael Derosa is 1386723559. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Where is Michael Derosa located?

Michael Derosa practices at 208 Lawrence Ave, Lawrence, NY 11559. The listed phone number is (516) 239-5405.

What is Michael Derosa's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Michael Derosa was last updated on January 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.