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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DOMINIC LORUSSO

Active

DOMINIC LORUSSO is a Nurse Anesthetist, Certified healthcare provider located in ROOSEVELT, New York. NPI 1174197222 is currently active in the NPPES registry. Verify at CMS.

Nurse Anesthetist, Certified · ROOSEVELT, NY

Registration Details

NPI Number
1174197222
Provider Type
Individual
Gender
Male
NPI Issued
May 13, 2021 (5.3027574928226 yrs)
Last Updated
May 13, 2021
License
792449 (NY)

Practice Information

Address
27 WASHINGTON PL
ROOSEVELT, NY, 115751435
Browse NY providers · Browse ZIP 11575
Phone
5166237741
Primary Specialty
Nurse Anesthetist, Certified
163WA0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.