Statements: NICHOLAS P ROUSSIS

Canonical ID: NK-GJRtJd4St6TNgWNhJbpv2d · Entity type: Person (reference)

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Property	Value	Lang	Source dataset	Source ID	First seen
`LegalEntity:address`	4735 HYLAN BOULEVARD, STATEN ISLAND, NY 10312	eng	us_nj_med_exclusions	`us-mednj-30237c13d40f28f58f7b755adfc6c8af2b5b80a3`	2024-11-08
`Person:address`	P O BOX 1000, #70914-050, LEWISBURG, PA 17837	eng	us_hhs_exclusions	`us-fed-excl-nicholas-p-roussis-17837-lewisburg`	2024-06-06
`Person:address`	LEWISBURG, PA 17837	eng	us_sam_exclusions	`us-fed-excl-nicholas-p-roussis-17837-lewisburg`	2025-12-29
`Person:address`	1655 RICHMOND AVE, STE E, STATEN ISLAND, NY 103141582		ext_us_cms_npi	`us-npi-1497749089`	2026-02-04