1114163904 NPI number — MR. FRANK LORUSSO JR. MS, CCC,SLP

Table of content: MR. FRANK LORUSSO JR. MS, CCC,SLP (NPI 1114163904)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1114163904 NPI number — MR. FRANK LORUSSO JR. MS, CCC,SLP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LORUSSO
Provider First Name:
FRANK
Provider Middle Name:
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
JR.
Provider Credential Text:
MS, CCC,SLP
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1114163904
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/28/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3451 86TH ST
Provider Second Line Business Mailing Address:
JACKSON HEIGHTS
Provider Business Mailing Address City Name:
JACKSON HEIGHTS
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11372-3350
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
917-842-1025
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5804 17TH AVE
Provider Second Line Business Practice Location Address:
BROOKLYN
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11204-2141
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
917-842-1025
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/28/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X , with the licence number:  007110-1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com