Provider Demographics
NPI:1508822529
Name:DELROSARIO, CESAR DEOCAMPO (MD)
Entity Type:Individual
Prefix:DR
First Name:CESAR
Middle Name:DEOCAMPO
Last Name:DELROSARIO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:760 BROADWAY
Mailing Address - Street 2:ROOM 3C261
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11206-5317
Mailing Address - Country:US
Mailing Address - Phone:718-963-8098
Mailing Address - Fax:718-630-3199
Practice Address - Street 1:760 BROADWAY
Practice Address - Street 2:ROOM 3C 261
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11206-5317
Practice Address - Country:US
Practice Address - Phone:718-963-8098
Practice Address - Fax:718-630-3199
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2015-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY217415207ZN0500X, 207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZN0500XAllopathic & Osteopathic PhysiciansPathologyNeuropathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYH82070Medicare UPIN
NY54R051Medicare PIN