DOMINIC LORUSSO
NPI 1174197222
Registered Nurse - Addiction (Substance Use Disorder) in Roosevelt, NY
Active since May 13, 2021
About Dominic Lorusso NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DOMINIC LORUSSO (NPI 1174197222) is an individual addiction (substance use disorder) provider in Roosevelt, New York, licensed in New York (792449) and active in the NPI registry since May 2021.
NPPES Registry Identity
NPI1174197222
Entity TypeIndividualMale
Primary Taxonomy163WA0400X
Provider Legal NameDOMINIC LORUSSO
Location Address27 WASHINGTON PLRoosevelt, NY 11575-1435
Mailing Address27 Washington PlRoosevelt, NY 11575-1435
Phone(516) 623-7741
Sole ProprietorNo
Enumeration DateMay 13, 2021
NPPES CertifiedMay 13, 2021
✔ NPI 1174197222 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Addiction (Substance Use Disorder)Nursing Service Providers
Taxonomy Code163WA0400X
License✔ Licensed in NY · 792449
27 WASHINGTON PL, Roosevelt, NY 11575
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174197222, enumerated as an "individual" on May 13, 2021.
The provider is located at 27 WASHINGTON PL ROOSEVELT, NY 11575 and the phone number is (516) 623-7741.
Registered Nurse with taxonomy code 163WA0400X and a focus in Addiction (Substance Use Disorder).
