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1407962590
WILLIAM A. LORUSSO
GLEN COVE, NY
NPI
1407962590
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: NY 000744-1)
Enumeration Date
2006-08-22
Last Update Date
2007-07-08
Business Address
Mr. WILLIAM A. LORUSSO RPA-C
101 SAINT ANDREWS LN
GLEN COVE, NY 11542-2254
Phone number: 516-674-7591
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Mailing Address
Mr. WILLIAM A. LORUSSO RPA-C
151 WILLIAM ST
WILLISTON PARK, NY 11596-1000
Phone number: 516-747-6176
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