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Organization
ST LOUIS MEDICAL CONSULTING, PC
Active
Organization
ST LOUIS MEDICAL CONSULTING, PC
Active
Other names
st louis medical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHILDEBERT ST LOUIS MD (MEDICAL DIRECTOR)
(845) 476-1460
Entity
Organization
Contact information
Practice address
108 LIME KILN RD, SUFFERN, NY 10901-2602
(917) 913-9232
Mailing address
108 LIME KILN RD, SUFFERN, NY 10901-2602
(845) 476-1460
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
250239
NY
Other
Enumeration date
11/12/2009
Last updated
04/30/2021
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