Individual
CHRISTOPHER M LOUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3438 BELTAGH AVE, WANTAGH, NY 11793-2552
(516) 732-9706
Mailing address
3438 BELTAGH AVE, WANTAGH, NY 11793-2552
(516) 732-9706
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
026188
NY
Other
Enumeration date
02/03/2020
Last updated
07/09/2021
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