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Individual

DR. LORRAINE DELROSSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
865 ROUTE 146, CLIFTON PARK, NY 12065-3804
(518) 383-3700
(518) 383-4158
Mailing address
865 ROUTE 146, CLIFTON PARK, NY 12065-3804
(518) 383-3700
(518) 383-4158

Taxonomy

Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
X4015
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03-0509201
EMPLOYER ID#
NY
01
DD3676
WORKSMAN COMP
NY
01
X4015
STATE LICENSE #
NY
Enumeration date
11/01/2006
Last updated
07/09/2007
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