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MR. DEMETRIOS ROUSSOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
301 E 17TH ST, NEW YORK, NY 10003-3804
(212) 598-6286
Mailing address
301 E 17TH ST, NEW YORK, NY 10003-3804
(212) 598-6286

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
381829
NY

Other

Enumeration date
11/23/2007
Last updated
09/12/2022
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