Individual
DR. JOSEPH J ROUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
440 NORTHERN BLVD, GREAT NECK, NY 11021-4813
(561) 773-4646
Mailing address
247 3RD AVE RM 404, NEW YORK, NY 10010-7455
(212) 381-6110
(212) 381-6110
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
250414
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/24/2008
Last updated
10/22/2020
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