# EMMANUEL ST. LOUIS MD PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417199027
- **Authorized official:** EMMANUEL ST. LOUIS M.D. (CEO)
- **Authorized official phone:** (516) 489-3681

## Contact information

- **Practice address:** 905 UNIONDALE AVE, UNIONDALE, NY 11553-3235
- **Practice address phone:** (516) 489-3681
- **Practice address fax:** (516) 489-3682
- **Mailing address:** 905 UNIONDALE AVE, UNIONDALE, NY 11553-3235
- **Mailing address phone:** (516) 489-3681
- **Mailing address fax:** (516) 489-3682

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 193946 | NY | Yes |

## Other

- **Enumeration date:** 03/27/2009
- **Last updated:** 03/27/2009