| O. Goussis M.d. Pc | |
|
1010 Northern Blvd Ste 100 Great Neck NY 11021-5306 | |
| (516) 773-6301 | |
| (516) 773-6120 |
| Full Name | O. Goussis M.d. Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1010 Northern Blvd Ste 100, Great Neck, New York |
| Authorized Official Name and Position | Frixos O Goussis (MD) |
| Authorized Official Contact | 5167736301 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| O. Goussis M.d. Pc 1010 Northern Blvd Ste 100 Great Neck NY 11021-5306 Ph: (516) 773-6301 | O. Goussis M.d. Pc 1010 Northern Blvd Ste 100 Great Neck NY 11021-5306 Ph: (516) 773-6301 |
| NPI Number | 1851601728 |
|---|---|
| Provider Enumeration Date | 10/13/2010 |
| Last Update Date | 10/13/2010 |
| Medicare PECOS PAC ID | 6608055975 |
|---|---|
| Medicare Enrollment ID | O20110119001040 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851601728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 144663 (New York) | Primary |
| Provider Name | Onoufrios S Goussis |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1174609952 PECOS PAC ID: 6406035773 Enrollment ID: I20110119001076 |
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