Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Angelo R. Derosalia, MD

Individual provider Urology Physician · NPI 1649444183

Angelo R. Derosalia, MD is an Urology in Liverpool, New York. Graduated from State University of New York at Stony Brook, School of Medicine in 2002, 24 years ago. Practices with Associated Medical Professionals of Ny PLLC, a 57-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
24
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
NY
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5100 W Taft Rd Ste 4D
Liverpool, NY 13088-3807
Phone: (315) 458-6669
Fax: (315) 458-0819
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 244397 (NY)

Record details

NPI number1649444183
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 16, 2008
Last updated in NPPESJune 27, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 2002 (24 years in practice)
Group practice Associated Medical Professionals Of Ny Pllc — 57 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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