MR. LIBERATO DEROSA (NPI# 1720290323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720290323 |
| Entity Type | Individual |
| Full Name | MR. LIBERATO DEROSA |
| Credential | C.A.S.A.C. |
| Practice Address |
2075 New York Ave Huntington Station NY 11746-3238 |
| Mailing Address |
2226 1st Ave Ronkonkoma NY 11779-6239 |
| Practice Telephone | 6313517112 |
| Mailing Telephone | 6314455373 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
9207 | NY | Behavioral Health & Social Service Providers |
| Street Address |
2075 NEW YORK AVE |
| City | HUNTINGTON STATION |
| State | NY |
| Zip Code | 11746-3238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831210038 | Samaritan Daytop Village, Inc. | Clinic/Center | 2075 New York Ave, Huntington Station, NY 11746-3238 | 2007-04-03 |
| 1043782766 | Corine Francesca Patti | Social Worker | 2075 New York Ave, Huntington Station, NY 11746-3238 | 2018-12-19 |
| 1811499189 | Maura Dillon | Social Worker | 2075 New York Ave, Huntington Station, NY 11746-3238 | 2018-03-02 |
| 1699119305 | Patrice Michele Levy | Counselor | 2075 New York Ave, Huntington Station, NY 11746-3238 | 2013-04-24 |
| 1518230127 | Melissa O'neill | Art Therapist | 2075 New York Ave, Huntington Station, NY 11746 | 2012-02-13 |
| 1679711303 | Colleen M. Sullivan | Counselor | 2075 New York Ave, Huntington Station, NY 11746-3238 | 2009-02-03 |
| 1255578647 | David M. Vizzini | Counselor | 2075 New York Ave, Huntington Station, NY 11746-3238 | 2009-01-07 |
| 1770761181 | Mayra Emilia Santana | Counselor | 2075 New York Ave, Huntington Station, NY 11746-3238 | 2008-02-07 |
| 1023296431 | Thomas S. Figueroa Sr. | Counselor | 2075 New York Ave, Huntington Station, NY 11746-3238 | 2008-02-07 |
| 1982810917 | Melanie Rubin | Counselor | 2075 New York Ave, Huntington Station, NY 11746-3238 | 2007-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063044170 | Gail Sackett | Registered Nurse | James E. Allen Learning Center, 762 Deer Park Road, Dix Hills, NY 11746 | 2020-02-06 |
| 1275011835 | Kimberly Susan Tillett | Licensed Practical Nurse | 22 Millet St., Dix Hills, NY 11746 | 2018-08-04 |
| 1225514409 | Mauricio R. Milhoua | Otolaryngology | 16 Marion Place, South Huntington, NY 11746 | 2018-07-11 |
| 1073037032 | Stacy H Schoenbach | Nurse Practitioner | 150 Broadhollow Road Suite 310, Melville, NY 11746 | 2017-08-01 |
| 1124542584 | Molar To Molar Dentistry PC | Dentist | 1679 New York Avenue, Huntington Station, NY 11746 | 2017-07-27 |
| 1114451077 | Ashleigh Lakatos | Specialist/Technologist | 586 Vanderbilt Pkwy, Dix Hills, NY 11746 | 2017-04-18 |
| 1487199170 | Aderemi O. Ogundiran | Student in an Organized Health Care Education/Training Program | 10 Mont Avenue, Dix Hills, NY 11746 | 2017-01-04 |
| 1942758347 | Philopenie Moise | Registered Nurse | 58 Alpine Way, Huntington Station, NY 11746 | 2016-09-14 |
| 1235598996 | Helen Martignette | Registered Nurse | 121 Wolf Hill Rd, Birchwood School, Melville, NY 11746 | 2016-02-23 |
| 1154780963 | Karen Rose Jacobsen | Registered Nurse | 165 Pidgeon Hill Road, South Huntington, NY 11746 | 2016-02-22 |
| Find all providers in zip 11746 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215446224 | Valisa Singh | Counselor | 545 E Jericho Tpke, Huntington Station, NY 11746-7325 | 2017-09-21 |
| 1699119305 | Patrice Michele Levy | Counselor | 2075 New York Ave, Huntington Station, NY 11746-3238 | 2013-04-24 |
| 1679711303 | Colleen M. Sullivan | Counselor | 2075 New York Ave, Huntington Station, NY 11746-3238 | 2009-02-03 |
| 1255578647 | David M. Vizzini | Counselor | 2075 New York Ave, Huntington Station, NY 11746-3238 | 2009-01-07 |
| 1770761181 | Mayra Emilia Santana | Counselor | 2075 New York Ave, Huntington Station, NY 11746-3238 | 2008-02-07 |
| 1023296431 | Thomas S. Figueroa Sr. | Counselor | 2075 New York Ave, Huntington Station, NY 11746-3238 | 2008-02-07 |
| 1982810917 | Melanie Rubin | Counselor | 2075 New York Ave, Huntington Station, NY 11746-3238 | 2007-05-15 |
| 1336351956 | Kim Michelle Terrero | Counselor | 2075 New York Ave, Huntington Station, NY 11746-3238 | 2007-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578622 | Roberto Javier Torres | Counselor | 115 Angelacrest Ln, West Seneca, NY 14224-3819 | 2020-11-05 |
| 1386245595 | Liliana Maria Calle | Counselor | 1510 Waters Pl Fl 2, Bronx, NY 10461-2700 | 2020-11-04 |
| 1245831528 | Multi Assistance Resource Centers Inc. | Counselor | 509 Willis Ave Fl 4, Bronx, NY 10455-4001 | 2020-11-04 |
| 1952902371 | Brandon Chevere | Counselor | 175 Remsen St Fl 9, Brooklyn, NY 11201-4333 | 2020-11-03 |
| 1619577541 | Josselyn D Carias-rodriguez | Counselor | 90 Cherry Ln, Hicksville, NY 11801-6232 | 2020-10-29 |
| 1275133688 | Carol Hunt | Counselor | 76 Humboldt Pkwy, Buffalo, NY 14214-2605 | 2020-10-27 |
| 1598363806 | Anabel Lago-pedrick | Counselor | 539 County Road 40, Maplecrest, NY 12454-1245 | 2020-10-09 |
| 1386241511 | Kelly Jensen | Counselor | 255 Delaware Ave Ste 3000, Buffalo, NY 14202-2016 | 2020-10-01 |
| 1538776091 | James Mcrae | Counselor | 100 N Portland Ave Rm B228, Brooklyn, NY 11205-2005 | 2020-09-29 |
| 1215544036 | Jeanette Malpica-oskowitz | Counselor | 100 N Portland Ave # B217, Brooklyn, NY 11205-2005 | 2020-09-25 |
| Find all providers with the same taxonomy | ||||
| City | HUNTINGTON STATION |
| Zip Code | 11746 |
Please comment or provide details below to improve the information on MR. LIBERATO DEROSA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.