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Organization
NICHOLAS P. ROUSSIS, M.D., P.C.
Active
Organization
NICHOLAS P. ROUSSIS, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS P. ROUSSIS M.D. (AUTHORIZED OFFICIAL)
(718) 667-4244
Entity
Organization
Contact information
Practice address
2627B HYLAN BLVD, STATEN ISLAND, NY 10306-4303
(718) 667-4244
(718) 667-5510
Mailing address
4735 HYLAN BLVD, STATEN ISLAND, NY 10312-6313
(718) 667-4244
(718) 667-5510
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
231555
NY
Other
Enumeration date
02/01/2007
Last updated
01/14/2009
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