Individual
DOMENICO LORUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2900 VETERANS RD W, STATEN ISLAND, NY 10309-2502
(718) 701-6206
Mailing address
2900 VETERANS RD W, STATEN ISLAND, NY 10309-2502
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
02/04/2015
Last updated
02/04/2015
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