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Organization
LORRAINE DEL ROSSO CHIROPRACTIC,DIETETICS,AND NUTRITION,PLLC
Active
Organization
LORRAINE DEL ROSSO CHIROPRACTIC,DIETETICS,AND NUTRITION,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORRAINE DEL ROSSO DC (CHIROPRACTOR)
(518) 496-2142
Entity
Organization
Contact information
Practice address
19 KENDALL WAY, SHOPS OF MALTA, MALTA, NY 12020
(518) 899-9199
Mailing address
P O BOX 1153, BALLSTON LAKE, NY 12019-0153
(518) 899-9199
(518) 899-9199
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
X004015-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DD5676
MEDICARE PTAN
NY
Enumeration date
10/11/2011
Last updated
10/11/2011
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