NPI 1720684087

Soma Medical Services, P.C.

Organisation Dermatology Physician Staten Island, NY

Practice location

Address: 1655 Richmond Ave STE E, Staten Island, NY 10314-1582
Phone: (718) 682-1900
Fax: (718) 682-1893
Mailing address: 4735 Hylan Blvd, Staten Island, NY 10312-6313

Authorised official

Name: Nicholas P. Roussis
Title: Owner
Phone: (917) 833-5648

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Other Dermatology providers in New York →

Registry record

NPI: 1720684087
Entity type: Organization
NPI issued: 10 Dec 2020
Record last updated: 10 Dec 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.