Organization
SOMA MEDICAL SERVICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS P. ROUSSIS MD (OWNER)
(917) 833-5648
Entity
Organization
Contact information
Practice address
1655 RICHMOND AVE STE E, STATEN ISLAND, NY 10314-1582
(718) 682-1900
(718) 682-1893
Mailing address
4735 HYLAN BLVD, STATEN ISLAND, NY 10312-6313
(917) 833-5648
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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