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Organization

LOUIS R. MACDONALD, DPM, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LOUIS R MACDONALD DPM (PRESIDENT)
(631) 878-3330
Entity
Organization

Contact information

Practice address
225 MONTAUK HWY STE 113, MORICHES, NY 11955-1411
(631) 878-3330
(631) 878-3331
Mailing address
225 MONTAUK HWY STE 113, MORICHES, NY 11955-1411
(631) 878-3330
(631) 878-3331

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N005424
NY
213EP1101X
Primary Podiatric Medicine Podiatrist
N005424
NY
213ER0200X
Radiology Podiatrist
N005424
NY
213ES0000X
Sports Medicine Podiatrist
N005424
NY
213ES0103X
Foot & Ankle Surgery Podiatrist
N005424
NY
213ES0131X
Foot Surgery Podiatrist
N005424
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02043209
NY
Enumeration date
11/22/2006
Last updated
04/03/2025
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