Individual
ANGELO LOBRUTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
029134
NY
363AM0700X
Medical Physician Assistant
29134
NY
Other
Enumeration date
10/03/2022
Last updated
07/22/2023
Update your record
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