Provider Demographics
NPI:1275850653
Name:DELAROSA, MARIA E (RPH)
Entity Type:Individual
Prefix:MS
First Name:MARIA
Middle Name:E
Last Name:DELAROSA
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:280 COLLINS AVE
Mailing Address - Street 2:APT 3A
Mailing Address - City:MOUNT VERNON
Mailing Address - State:NY
Mailing Address - Zip Code:10552-1733
Mailing Address - Country:US
Mailing Address - Phone:347-234-9097
Mailing Address - Fax:
Practice Address - Street 1:280 COLLINS AVE
Practice Address - Street 2:APT 3A
Practice Address - City:MOUNT VERNON
Practice Address - State:NY
Practice Address - Zip Code:10552-1733
Practice Address - Country:US
Practice Address - Phone:347-234-9097
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-26
Last Update Date:2010-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0444951835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist