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Individual

DR. ONOUFRIOS GOUSSIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
18 OVERBROOK LN, GLEN HEAD, NY 11545-2737
(516) 972-5911
(516) 773-6120
Mailing address
18 OVERBROOK LN, GLEN HEAD, NY 11545-2737
(516) 972-5911
(516) 773-6120

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00813878
NY
Enumeration date
10/27/2006
Last updated
07/31/2024
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