Dirusso, Stephen M

Dirusso, Stephen M is an sole proprietor health care provider with primary practice located at 4422 3Rd Ave St. Barnabas Hospital Dept Surgery 2Nd Flor Mills Blvd, Bronx NY 10457-2545. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Critical Care, which is considered as his primary health care specialty. Dirusso, Stephen M can be contacted via phone (718) 960-6127.

Contact Information

Primary practice address
4422 3Rd Ave St. Barnabas Hospital Dept Surgery 2Nd Flor Mills Blvd Bronx NY 10457-2545
Phone: (718) 960-6127
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 203772 New York

Profile Details

NPI number 1124185483
LBN Legal business name Dirusso, Stephen M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 3rd, 2007
Last updated Dec 4th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124185483 NPPES
New York MEDICAID 1724423

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