MEDICARE: AMY C DELLA ROCCA NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	F401110-01	NY
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	F401110	NY

General Provider Information

NPI Number	:	1093994378
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY C DELLA ROCCA NP

Provider Business Mailing Address
First Line	:	401 E 167TH ST
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10456-4037
Country	:	US
Telephone Number	:	718-579-7300
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 BARKER AVE STE 200
Second Line	:
City	:	WHITE PLAINS
State	:	NY
Zip	:	10601-1523
Country	:	US
Telephone Number	:	914-222-0101
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2007
Last Update Date	:	02/05/2026

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