Individual
AMY LARUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
49 SAVANNA CIR, MOUNT SINAI, NY 11766-1615
(631) 807-7990
Mailing address
49 SAVANNA CIR, MOUNT SINAI, NY 11766-1615
(631) 807-7990
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
563994-01
NY
Other
Enumeration date
07/04/2022
Last updated
07/04/2022
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