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

DR. SALVATORE LARUSSA, DOCTOR OF PHARMACY

Active Sole Proprietor

DR. SALVATORE LARUSSA, DOCTOR OF PHARMACY is a Pharmacist Clinician (PhC) healthcare provider located in MIDDLE VILLAGE, New York. NPI 1194497057 is currently active in the NPPES registry. Verify at CMS.

Pharmacist Clinician (PhC) · MIDDLE VILLAGE, NY

Registration Details

NPI Number
1194497057
Provider Type
Individual
Gender
Male
NPI Issued
Sep 29, 2021 (4.9207108060432 yrs)
Last Updated
Sep 29, 2021
License
068321 (NY)
Sole Proprietor
Yes

Practice Information

Address
6539 79TH ST
MIDDLE VILLAGE, NY, 113792716
Browse NY providers · Browse ZIP 11379
Phone
9172804424
Primary Specialty
Pharmacist Clinician (PhC)
1835P0018X
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.