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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) 921-1100
Entity
Organization
Contact information
Practice address
9920 4TH AVE, SUITE 303, BROOKLYN, NY 11209-8333
(718) 921-1100
(718) 921-7100
Mailing address
4735 HYLAN BLVD, STATEN ISLAND, NY 10312-6313
(718) 921-1100
(718) 921-7100
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
231555
NY
Other
Enumeration date
02/02/2007
Last updated
08/22/2020
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