| Doctor Name: | DR. JOSEPH J ROUSSO |
| NPI Number: | 1033377213 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 250414 |
| Business Practice Address: | 440 Northern Blvd Great Neck, NY - 110214813 |
| Business Phone Number: | 5617734646 |
| Business Fax Number: | |
| Mailing Address: | 440 Northern Blvd, GREAT NECK |
| State: | NY |
| Postal Code: | 110214813 |
| Phone Number: | 5167734646 |
| Fax Number: | |
| NPI Enumeration Date: | 05/24/2008 |
| NPI Last Update Date: | 05/20/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207YS0123X |
| License Number: | 250414 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Otolaryngology |
| Taxonomy Specialization: | Facial Plastic Surgery |
| Taxonomy Definition: | An otolaryngologist who specializes in facial plastic surgery. |