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Individual

DR. LOUIS F LOIODICE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
69 W MAIN ST, BAY SHORE, NY 11706-8313
(631) 969-4590
(631) 665-3928
Mailing address
69 W MAIN ST, BAY SHORE, NY 11706-8313
(631) 969-4590
(631) 665-3928

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
179962
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01497474
NY
05
01559806
NY
Enumeration date
10/04/2005
Last updated
02/08/2011
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