Individual
DR. GEORGE PANAGIOTIS ROUSSIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2627B HYLAN BLVD, STATEN ISLAND, NY 10306-4353
(718) 667-5500
(718) 667-5510
Mailing address
2627B HYLAN BLVD, STATEN ISLAND, NY 10306-4353
(718) 667-5500
(718) 667-5510
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
224106
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02423650
—
NY
Enumeration date
09/08/2005
Last updated
07/08/2007
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