Provider Demographics
NPI:1700245149
Name:DELAROSA, VERONICA (NP)
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:
Last Name:DELAROSA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:VERONICA
Other - Middle Name:
Other - Last Name:DE LA ROSA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP
Mailing Address - Street 1:PO BOX 99
Mailing Address - Street 2:
Mailing Address - City:TOMKINS COVE
Mailing Address - State:NY
Mailing Address - Zip Code:10986-0099
Mailing Address - Country:US
Mailing Address - Phone:914-907-1195
Mailing Address - Fax:
Practice Address - Street 1:2 SCANDELL CT
Practice Address - Street 2:
Practice Address - City:TOMKINS COVE
Practice Address - State:NY
Practice Address - Zip Code:10986-1406
Practice Address - Country:US
Practice Address - Phone:914-403-5039
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-13
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ0143500363LF0000X
FL11023256363LF0000X
NYF339486-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily