Individual
DR. NICHOLAS PANAGIOTIS ROUSSIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1655 RICHMOND AVE, STE E, STATEN ISLAND, NY 10314-1582
(718) 682-1900
(718) 682-1893
Mailing address
1655 RICHMOND AVE, STE E, STATEN ISLAND, NY 10314-1582
(718) 682-1900
(718) 682-1893
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
231555
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02526112
—
NY
Enumeration date
09/09/2005
Last updated
09/01/2021
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