Philip Larussa MD

NPI 1053390708 - Pediatrics - 2080P0208X

NPI Details
NPI 1053390708
Gender Male
Enumeration Date 01/11/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3959 BROADWAY
NEW YORK NY, 10032-1559, US
Phone (212) 304-7250
Fax
Business Location
3959 BROADWAY
NEW YORK NY, 10032-1559, US
Phone (212) 304-7250
Fax
Toxanomy
Taxonomy Code 2080P0208X
License State New York
License Number 148291
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According to our database, Dr. Philip Larussa MD NPI is 1053390708, taxonomy code is 2080P0208X and license number is 148291, license state is located at New York. Philip Larussa MD physically located at 3959 Broadway, New York NY, 10032-1559. NPI Number Philip Larussa MD has the Individual type.

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1053390708 NPI number is provided on an as is basis without warranty of any kind. 1053390708 is maintained by the National Plan & Provider Enumeration System. The contents of Philip Larussa MD are for informational purposes only.