Doctor Name: | EMMANUEL ST. LOUIS ST LOUIS |
NPI Number: | 1114937968 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 193946 |
Business Practice Address: | 905 Uniondale Ave Uniondale, NY - 115533235 |
Business Phone Number: | 5164893681 |
Business Fax Number: | 5164893682 |
Mailing Address: | 905 Uniondale Ave, UNIONDALE |
State: | NY |
Postal Code: | 115533235 |
Phone Number: | 5164893681 |
Fax Number: | 5164893682 |
NPI Enumeration Date: | 08/08/2006 |
NPI Last Update Date: | 01/30/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 193946 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |