Organization Name: | LOUIS R. MACDONALD, DPM, PC |
NPI Number: | 1235205725 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LOUIS R MACDONALD (PRESIDENT) |
Mailing Address: | 225 Montauk Hwy Suite 113 Moriches |
State: | NY US |
Postal Code: | 119551425 |
Phone Number: | 6318783330 |
Fax Number: | 6318783331 |
NPI Enumeration Date: | 11/27/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | N005424 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |