Individual
DR. MICHAEL THOMAS DIRUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1201 NOTT ST, SUITE203, SCHENECTADY, NY 12308-2589
(518) 374-4207
(518) 374-4371
Mailing address
62 HACKETT BLVD, ALBANY, NY 12209-1756
(518) 434-2244
(518) 434-4659
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
261550
NY
Other
Enumeration date
01/12/2009
Last updated
07/16/2015
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