Provider Demographics
NPI:1639183205
Name:DELLA ROCCA, DAVID A (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:A
Last Name:DELLA ROCCA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:90 S RIDGE ST
Mailing Address - Street 2:LOWER LEVEL 8
Mailing Address - City:RYE BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:10573-2867
Mailing Address - Country:US
Mailing Address - Phone:914-934-5280
Mailing Address - Fax:914-934-5282
Practice Address - Street 1:90 S RIDGE ST
Practice Address - Street 2:LOWER LEVEL 8
Practice Address - City:RYE BROOK
Practice Address - State:NY
Practice Address - Zip Code:10573-2867
Practice Address - Country:US
Practice Address - Phone:914-934-5280
Practice Address - Fax:914-934-5282
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2013-07-24
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Provider Licenses
StateLicense IDTaxonomies
NY225562207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY441B52Medicare ID - Type Unspecified
NYH86695Medicare UPIN