Individual provider · Type 1 NPI
Demetrios Roussos, NP
Pediatric Nurse Practitioner · New York, NY
NPI number
1356522908
Active
Practice location
301 E 17th St
New York, NY 10003-3804
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 381829 (NY) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1356522908
Demetrios Roussos, NP's National Provider Identifier is 1356522908, issued on Nov 23, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in New York, NY. The record was last updated on Sep 12, 2022.