Larussa, Christopher
Larussa, Christopher is an individual health care provider with primary practice located at 770 James St , Syracuse NY 13203-2117. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Larussa, Christopher can be contacted via phone (315) 422-2222.Contact Information
Primary practice address
770 James St
Syracuse NY 13203-2117
Phone: (315) 422-2222
Fax: (315) 472-8497
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 2243741 | New York |
Profile Details
| NPI number | 1710977616 |
|---|---|
| LBN Legal business name | Larussa, Christopher |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2005 |
| Last updated | Dec 28th, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710977616 | NPPES |
| New York | MEDICAID | 02253565 |
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