Nicholas P. Roussis, M.d., P.c.

NPI 1023156361 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1023156361
Enumeration Date 02/01/2007
Last Updated 01/14/2009
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name NICHOLAS P. NICHOLAS
Position AUTHORIZED OFFICIAL
Phone (718) 667-4244
Fax (718) 667-5510
Practice Location
2627B HYLAN BLVD
STATEN ISLAND NY, 10306-4303, US
Phone (718) 667-4244
Fax (718) 667-5510
Business Location
4735 HYLAN BLVD
STATEN ISLAND NY, 10312-6313, US
Phone (718) 667-4244
Fax (718) 667-5510
Toxanomy
Taxonomy Code 207V00000X
License State New York
License Number 231555
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According to our database, Nicholas P. Roussis, M.d., P.c. NPI is 1023156361, taxonomy code is 207V00000X and license number is 231555, license state is located at New York. Nicholas P. Roussis, M.d., P.c. physically located at 2627b Hylan Blvd, Staten Island NY, 10306-4303. NPI Number 1033115704 has the healthcare provider type.

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1023156361 NPI number is provided on an as is basis without warranty of any kind. 1023156361 is maintained by the National Plan & Provider Enumeration System. The contents of Nicholas P. Roussis, M.d., P.c. are for informational purposes only.