Most Relevant Information
Provider Data
| NPI Number: | 1003654674 |
| Provider Name: | ANTONIO MICHAEL ROSELLI PA |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/18/2024 |
| Last Updated: | 07/18/2024 |
Provider Practice Location
465 ARDSLEY BLVD
GARDEN CITY SOUTH
NY
115305601
Practice Location Phone/Fax
| Phone: | 5163064930 |
| Fax: |
Provider Mailing Location
465 ARDSLEY BLVD
GARDEN CITY SOUTH
NY
115305601
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |