# LORRAINE DEL ROSSO CHIROPRACTIC,DIETETICS,AND NUTRITION,PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275817181
- **Authorized official:** DR. LORRAINE DEL ROSSO DC (CHIROPRACTOR)
- **Authorized official phone:** (518) 496-2142

## Contact information

- **Practice address:** 19 KENDALL WAY, SHOPS OF MALTA, MALTA, NY 12020
- **Practice address phone:** (518) 899-9199
- **Mailing address:** P O BOX 1153, BALLSTON LAKE, NY 12019-0153
- **Mailing address phone:** (518) 899-9199
- **Mailing address fax:** (518) 899-9199

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NN1001X | Nutrition Chiropractor | X004015-1 | NY | Yes |

## Other

- **Enumeration date:** 10/11/2011
- **Last updated:** 10/11/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | DD5676 | MEDICARE PTAN | NY |