Individual
MEWS ROUSSEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 HEMPSTEAD AVE, SUITE 152, ROCKVILLE CENTRE, NY 11570
(516) 536-5836
(631) 692-0065
Mailing address
PO BOX 1203, BELLMORE, NY 11710
(516) 783-6692
(516) 826-6196
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
145537
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00624566
—
NY
Enumeration date
08/07/2006
Last updated
07/08/2007
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