Individual
EDWARD GIARRUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
270 PARK AVENUE, C/O ALISON VALDES, ROOM G-205, QUALITY MANAGEMENT, HUNTINGTON, NY 11743
(631) 547-6392
(631) 351-2063
Mailing address
270 PARK AVENUE, C/O ALISON VALDES, ROOM G-205, QUALITY MANAGEMENT, HUNTINGTON, NY 11743
(631) 547-6392
(631) 351-2063
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1956-1
NY
Other
Enumeration date
10/15/2010
Last updated
10/15/2010
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