Goussis, Onoufrios

Goussis, Onoufrios is an sole proprietor health care provider with primary practice located at 1010 Northern Blvd Ste 100 , Great Neck NY 11021-5306. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Goussis, Onoufrios can be contacted via phone (516) 773-6301.

Contact Information

Primary practice address
1010 Northern Blvd Ste 100 Great Neck NY 11021-5306
Phone: (516) 773-6301
Fax: (516) 773-6120
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 144663 New York

Profile Details

NPI number 1174609952
LBN Legal business name Goussis, Onoufrios
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174609952 NPPES
New York MEDICAID 00813878

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