MEDICARE: DR. ROSEMARY A DELEO MD

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	207Q00000X	Family Medicine Physician	155606-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P2054745	OTHER	NY	OXFORD HEALTH PLANS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	087243	OTHER	NY	MVP HEALTH PLAN
4	10031714	OTHER	NY	CDPHP
5	000494371002	OTHER	NY	BLUE SHIELD NORTHEASTERN
6	45818	OTHER	NY	GHI HMO INSURANCE
7	9X7511	OTHER	NY	EMPIRE BC/BS

General Provider Information

NPI Number	:	1376507442
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROSEMARY A DELEO MD

Provider Business Mailing Address
First Line	:	145 SAWKILL RD
Second Line	:
City	:	KINGSTON
State	:	NY
Zip	:	12401-1226
Country	:	US
Telephone Number	:	845-853-7003
Fax Number	:	845-853-7002

Provider Business Practice Location Address
First Line	:	145 SAWKILL RD
Second Line	:
City	:	KINGSTON
State	:	NY
Zip	:	12401-1226
Country	:	US
Telephone Number	:	845-853-7003
Fax Number	:	845-853-7002

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

Provider Enumeration Date	:	04/14/2006
Last Update Date	:	03/29/2026

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