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

Individual provider Physician Assistant · NPI 1003654674

Antonio Michael Roselli, PA is a Physician Assistant in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2024
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1 Gustave L Levy Pl
New York, NY 10029-6504
Phone: (212) 241-1653
Fax: (212) 289-6393
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 032455 (NY)

Record details

NPI number1003654674
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedJuly 18, 2024
Last updated in NPPESMarch 6, 2025
Certification dateMarch 6, 2025

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