IndividualActive
Philip Larussa, MD
NPI 1053390708 · Pediatric Infectious Diseases Physician · New York, NY
Provider details
- NPI number
- 1053390708
- Entity type
- Individual
- Primary specialty
- Pediatric Infectious Diseases PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- License
- 148291 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3959 Broadway
New York, NY 10032-1559
Phone: (212) 304-7250
Approximate (ZIP-level) locationGet directions
Mailing address
3959 Broadway
New York, NY 10032-1559
Registry dates
- Enumerated
- 2006-01-11
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.