DAVID LAWRENCE LARUSSA

LONG ISLAND CITY, NY
NPI1093968224
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: NY  012944)
Enumeration Date2008-10-31
Last Update Date2008-10-31
Business Address
Mr. DAVID LAWRENCE LARUSSA RPA-C
25-10 30TH AVENUE
LONG ISLAND CITY, NY 11102
Phone number: 718-879-1651
Mailing Address
Mr. DAVID LAWRENCE LARUSSA RPA-C
25-10 30TH AVENUE
LONG ISLAND CITY, NY 11102
Phone number: 718-879-1651