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General NPI Number Information
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NPI Number | 1922945930
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Entity Type | Individual
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Provider Name | DEVON DELAROSA
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Gender | Male
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Dates
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Enumeration Date | 04/29/2026
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Last Update Date | 04/29/2026
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Provider Practice Location Address
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Address Line | 163 NEW HYDE PARK RD
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City | FRANKLIN SQUARE
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State | NY
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Zip | 11010-3045
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Country | US
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Telephone | 516-774-4031
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Fax |
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Provider Business Mailing Address
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Address Line | 160 E CARPENTER ST
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City | VALLEY STREAM
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State | NY
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Zip | 11580-4422
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State | NY
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