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1750644209
ROBERT ANTHONY BORRUSO
DEER PARK, NY
NPI
1750644209
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NY 001812-1)
Enumeration Date
2012-06-20
Last Update Date
2012-07-19
Business Address
Mr. ROBERT ANTHONY BORRUSO ATC, CSCS
1 FALCON PL
DEER PARK, NY 11729-3205
Phone number: 631-835-2962
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Mailing Address
Mr. ROBERT ANTHONY BORRUSO ATC, CSCS
285 AVE B
LAKE RONKONKOMA, NY 11779
Phone number: 631-580-0026
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