Individual
DR. LOUIS THOMAS CORNACCHIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4528 PARSONS BLVD, FLUSHING, NY 11355-2252
(718) 539-5100
Mailing address
4528 PARSONS BLVD, FLUSHING, NY 11355-2252
(718) 539-5100
(718) 539-2706
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
130590
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00557222
—
NY
Enumeration date
12/22/2006
Last updated
01/11/2008
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