IndividualActive
Angelo Derosalia, MD
NPI 1649444183 · Urology Physician · Liverpool, NY
Provider details
- NPI number
- 1649444183
- Entity type
- Individual
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 244397 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
5100 W Taft Rd
Suite 4d
Liverpool, NY 13088-3807
Phone: (315) 458-6669
Fax: (315) 458-0819
Approximate (ZIP-level) locationGet directions
Mailing address
1226 E Water St
Syracuse, NY 13210-1155
Registry dates
- Enumerated
- 2008-04-16
- Last updated
- 2012-06-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.