Individual
JONATHAN LOUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19 STERLING RD, ELMONT, NY 11003-1418
(516) 326-5500
Mailing address
19 STERLING RD, ELMONT, NY 11003-1418
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
3137831
NY
Other
Enumeration date
06/18/2015
Last updated
06/18/2015
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