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1093968224
DAVID LAWRENCE LARUSSA
LONG ISLAND CITY, NY
NPI
1093968224
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NY 012944)
Enumeration Date
2008-10-31
Last Update Date
2008-10-31
Business Address
Mr. DAVID LAWRENCE LARUSSA RPA-C
25-10 30TH AVENUE
LONG ISLAND CITY, NY 11102
Phone number: 718-879-1651
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Mailing Address
Mr. DAVID LAWRENCE LARUSSA RPA-C
25-10 30TH AVENUE
LONG ISLAND CITY, NY 11102
Phone number: 718-879-1651
Copy
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