Individual
LORIANN M STIUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
10 MEDICAL PLZ, ROOM 301, GLEN COVE, NY 11542-2193
(516) 676-7116
(516) 676-6249
Mailing address
3 LAUREL WAY, SEA CLIFF, NY 11579-1941
(516) 676-8890
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
184272
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01407354
—
NY
Enumeration date
07/04/2006
Last updated
07/08/2007
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