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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