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:
Health care specialties
Specialty | Code | License # | 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 16 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1124185483 | NPPES |
New York | MEDICAID | 1724423 |
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