# O. GOUSSIS M.D. PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851601728
- **Authorized official:** FRIXOS O GOUSSIS M.D. (MD)
- **Authorized official phone:** (516) 773-6301

## Contact information

- **Practice address:** 1010 NORTHERN BLVD STE 100, GREAT NECK, NY 11021-5306
- **Practice address phone:** (516) 773-6301
- **Practice address fax:** (516) 773-6120
- **Mailing address:** 1010 NORTHERN BLVD STE 100, GREAT NECK, NY 11021-5306
- **Mailing address phone:** (516) 773-6301
- **Mailing address fax:** (516) 773-6120

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 144663 | NY | Yes |

## Other

- **Enumeration date:** 10/13/2010
- **Last updated:** 10/13/2010