Individual provider · Type 1 NPI

William A. Lorusso, RPA-C

Surgical Physician Assistant · Glen Cove, NY

NPI number 1407962590 Active

Practice location

101 Saint Andrews Ln
Glen Cove, NY 11542-2254

Call (516) 674-7591 Map

Fax (516) 674-1778

Mailing address

151 William St
Williston Park, NY 11596-1000

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X000744-1 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1407962590

William A. Lorusso, RPA-C's National Provider Identifier is 1407962590, issued on Aug 22, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Glen Cove, NY. The record was last updated on Jul 8, 2007.