Larussa, David Lawrence
Larussa, David Lawrence is an individual health care provider with primary practice located at 25-10 30Th Avenue , Long Island City NY 11102. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Larussa, David Lawrence can be contacted via phone (718) 879-1651.Contact Information
Primary practice address
25-10 30Th Avenue
Long Island City NY 11102
Phone: (718) 879-1651
Fax: (718) 267-6578
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 012944 | New York |
Profile Details
| NPI number | 1093968224 |
|---|---|
| LBN Legal business name | Larussa, David Lawrence |
| Credentials | RPA-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2008 |
| Last updated | Oct 31st, 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.
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