Organization
LORRAINE DEL ROSSO CHIROPRACTIC,DIETETICS,AND NUTRITION,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORRAINE DEL ROSSO DC (CHIROPRACTOR)
(518) 496-2142
Entity
Organization
Contact information
Practice address
19 KENDALL WAY, SHOPS OF MALTA, MALTA, NY 12020
(518) 899-9199
Mailing address
P O BOX 1153, BALLSTON LAKE, NY 12019-0153
(518) 899-9199
(518) 899-9199
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
X004015-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DD5676
MEDICARE PTAN
NY
Enumeration date
10/11/2011
Last updated
10/11/2011
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