# ST LOUIS MEDICAL CONSULTING, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** st louis medical
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588991509
- **Authorized official:** DR. CHILDEBERT ST LOUIS MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (845) 476-1460

## Contact information

- **Practice address:** 108 LIME KILN RD, SUFFERN, NY 10901-2602
- **Practice address phone:** (917) 913-9232
- **Mailing address:** 108 LIME KILN RD, SUFFERN, NY 10901-2602
- **Mailing address phone:** (845) 476-1460

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 250239 | NY | Yes |

## Other

- **Enumeration date:** 11/12/2009
- **Last updated:** 04/30/2021