Individual
DR. GINA ROSSILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
110 CHATSWORTH AVE, LARCHMONT, NY 10538-2901
(914) 834-1844
(914) 834-5915
Mailing address
110 CHATSWORTH AVE, LARCHMONT, NY 10538-2901
(914) 834-1844
(914) 834-5915
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
004956
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C294C
EMPIRE
NY
01
—
LV20494
SPECTERA
NY
01
—
NY4956
EYEMED
NY
01
—
P674427
OXFORD
NY
Enumeration date
01/18/2007
Last updated
07/08/2007
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