Individual
BETH G LOUIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
PO BOX 309, 33 RONALD REAGAN BLVD, WARWICK, NY 10990-4114
(845) 986-5352
(845) 986-6341
Mailing address
PO BOX 309, 33 RONALD REAGAN BLVD, WARWICK, NY 10990-4114
(845) 986-5352
(845) 986-6341
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
131379
NY
207K00000X
Allergy & Immunology Physician
Primary
25MA03767100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00345919
—
NY
01
—
030005438
RAILROAD MEDICARE
—
01
—
169639P
HIP PRIS
—
01
—
2099821
GHI
—
01
—
213824
WELLCARE
—
01
—
3124889
AETNA HMO
—
01
—
4C5129
HEALTHNET
—
01
—
5362617
AETNA PPO
—
01
—
5N6671
WELLCHOICE
—
01
—
71233
GHI HMO
—
01
—
9109891007
CIGNA
—
01
—
P2717817
OXFORD
—
Enumeration date
02/23/2006
Last updated
03/07/2023
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