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

Lisa Ann Derosa, PA

Individual provider Physician Assistant · NPI 1942887393

Lisa Ann Derosa, PA is a Physician Assistant in Manorville, New York. Registered with an NPI since 2021.

In the registry since
2021
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

6 Palace Ct
Manorville, NY 11949-3131
Phone: (631) 905-6771
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1942887393
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 24, 2021
Last updated in NPPESMarch 24, 2021
Certification dateMarch 7, 2021

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