Victoria Elizabeth Rusch
Specialist in Oswego, NY. Individual provider (NPI-1).
NPI number1962020404
StatusActive
Last updated in NPPESJul 10, 2020
Details
- NPI
- 1962020404
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Victoria Elizabeth Rusch
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 10, 2020
- Certification date
- Jul 10, 2020
- Last updated
- Jul 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 1048388161 | NY | Yes |
Practice location
10 Burkle StOswego, NY 13126-3259
Phone 315-342-4600
Mailing address
54 Church StOswego, NY 13126-3302
Phone 315-806-5343
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