Roussis, George Panagiotis

Roussis, George Panagiotis is an individual health care provider with primary practice located at 2627B Hylan Blvd , Staten Island NY 10306-4353. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Roussis, George Panagiotis can be contacted via phone (718) 667-5500.

Contact Information

Primary practice address
2627B Hylan Blvd Staten Island NY 10306-4353
Phone: (718) 667-5500
Fax: (718) 667-5510
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 224106 New York

Profile Details

NPI number 1568456382
LBN Legal business name Roussis, George Panagiotis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated Jul 13th, 2026 - about 3 months 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 1568456382 NPPES
New York MEDICAID 02423650

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