Individual
GERALDINE ROUSSOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 MERRICK AVE, EAST MEADOW, NY 11554-4748
(516) 393-8900
Mailing address
1983 MARCUS AVE STE 119, NEW HYDE PARK, NY 11042-1016
(516) 321-7526
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
025708
NY
Other
Enumeration date
02/11/2022
Last updated
02/11/2022
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