Individual
MR. WILLIAM A. LORUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
101 SAINT ANDREWS LN, GLEN COVE, NY 11542-2254
(516) 674-7591
(516) 674-1778
Mailing address
151 WILLIAM ST, WILLISTON PARK, NY 11596-1000
(516) 747-6176
(516) 877-2076
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
000744-1
NY
Other
Enumeration date
08/22/2006
Last updated
07/08/2007
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