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Individual

ELENA LOUIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
315 S MANNING BLVD, ALBANY, NY 12208-1707
(518) 525-1550
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
T-3798
MS
208M00000X
Hospitalist Physician
Primary
317438
NY

Other

Enumeration date
07/01/2019
Last updated
07/13/2022
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