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) 921-1100
Entity
Organization
Contact information
Practice address
9920 4TH AVE, SUITE 303, BROOKLYN, NY 11209-8333
(718) 921-1100
(718) 921-7100
Mailing address
4735 HYLAN BLVD, STATEN ISLAND, NY 10312-6313
(718) 921-1100
(718) 921-7100
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
231555
NY
Other
Enumeration date
02/02/2007
Last updated
08/22/2020
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