| Mr William A Lorusso, RPA-C | |
|
101 Saint Andrews Ln, Glen Cove, NY 11542-2254 | |
| (516) 674-7591 | |
| (516) 674-1778 |
| Full Name | Mr William A Lorusso |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Surgical |
| Location | 101 Saint Andrews Ln, Glen Cove, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407962590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 000744-1 (New York) | Primary |
| Entity Name | Central Suffolk Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043402050 PECOS PAC ID: 4981508082 Enrollment ID: O20031120000840 |
| Entity Name | Peconic Bay Primary Medical Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487620613 PECOS PAC ID: 7113817602 Enrollment ID: O20040318000260 |
| Entity Name | North Shore-lij Medical PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr William A Lorusso, RPA-C 151 William St, Williston Park, NY 11596-1000 Ph: (516) 747-6176 | Mr William A Lorusso, RPA-C 101 Saint Andrews Ln, Glen Cove, NY 11542-2254 Ph: (516) 674-7591 |
Jaclyn Teresco, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 104 Forest Ave, Glen Cove, NY 11542 Phone: 516-759-5406 |
Kaitlyn Krause, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 104 Forest Ave, Glen Cove, NY 11542 Phone: 516-759-5406 |
Gregory Cassella, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 68 Elm Ave, Glen Cove, NY 11542 Phone: 516-417-7329 |
Jennifer D Roth, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 104 Forest Ave, Glen Cove, NY 11542 Phone: 516-759-5406 |
Ms. Kerri A Sujeski, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 104 Forest Avenue, Glen Cove, NY 11542 Phone: 516-759-5406 Fax: 516-759-5537 |
Sarah Miriam Mulhern, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 101 Saint Andrews Ln, Glen Cove, NY 11542 Phone: 516-674-7300 |
Mr. William Szabo, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 101 Saint Andrews Ln, Glen Cove, NY 11542 Phone: 516-674-7591 |