Individual
EMMANUEL ST LOUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
905 UNIONDALE AVE, UNIONDALE, NY 11553-3235
(516) 489-3681
(516) 489-3682
Mailing address
905 UNIONDALE AVE, UNIONDALE, NY 11553-3235
(516) 489-3681
(516) 489-3682
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
193946
NY
207Q00000X
Family Medicine Physician
Primary
193946
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01517697
—
NY
Enumeration date
08/08/2006
Last updated
05/19/2020
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