Roussis, Nicholas Panagiotis

Roussis, Nicholas Panagiotis is an sole proprietor health care provider with primary practice located at 1655 Richmond Ave Ste E, Staten Island NY 10314-1582. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Roussis, Nicholas Panagiotis can be contacted via phone (718) 682-1900.

Contact Information

Primary practice address
1655 Richmond Ave Ste E Staten Island NY 10314-1582
Phone: (718) 682-1900
Fax: (718) 682-1893
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 231555 New York

Profile Details

NPI number 1497749089
LBN Legal business name Roussis, Nicholas Panagiotis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 9th, 2005
Last updated Sep 1st, 2021 - about 4 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 1497749089 NPPES
New York MEDICAID 02526112

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