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1083927925
ELAINA J LARUSSO
BRONX, NY
NPI
1083927925
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NY 277587)
Enumeration Date
2010-07-20
Last Update Date
2015-09-25
Business Address
-- ELAINA J LARUSSO DO
470 E FORDHAM RD
BRONX, NY 10458-5108
Phone number: 718-960-3801
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Mailing Address
-- ELAINA J LARUSSO DO
470 E FORDHAM RD
BRONX, NY 10458-5108
Phone number:
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