National Provider Identifier

Gabrielle Lorusso, M.S.ATC

Gabrielle Lorusso, M.S.ATC is listed in the NPPES registry with a primary specialty of Athletic Trainer in Lake View, NY and a listed phone number of (716) 430-1164.

NPI 1518325927Lake View, NYAthletic Trainer

Profile Overview

NPI
1518325927
Provider Type
Individual
Primary Specialty
Athletic Trainer
Enumeration Date
February 01, 2016
Last Updated
February 01, 2016

Practice Location

  • 6533 Burke RD
  • Lake View, NY 14085-9733

Phone: (716) 430-1164

Specialties

  • Athletic Trainer (2255A2300X)
Full Record
NPI
1518325927
Entity Type
Individual
Last Name
Lorusso
First Name
Gabrielle
Credential
M.S.ATC
Mailing Street Address
6533 Burke RD
Mailing City
Lake View
Mailing State
NY
Mailing ZIP Code
14085-9733
Mailing Country
US
Mailing Phone
(716) 430-1164
Practice Street Address
6533 Burke RD
Practice City
Lake View
Practice State
NY
Practice ZIP Code
14085-9733
Practice Country
US
Practice Phone
(716) 430-1164
Enumeration Date
February 01, 2016
Last Updated
February 01, 2016
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Athletic Trainer (2255A2300X)