Individual
H LOUIS CLINTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
67 PROSPECT AVE, SUITE 210, HUDSON, NY 12534-2907
(518) 828-2566
(518) 697-3403
Mailing address
67 PROSPECT AVE, SUITE 210, HUDSON, NY 12534-2907
(518) 828-2566
(518) 697-3403
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
1-163259
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000406283001
BS OF NENY
—
01
—
0036315
GHI PPO
—
05
—
01094820
—
NY
01
—
040426007295
FIDELIS
—
01
—
10000352
CDPHP
—
01
—
105180
WELLCARE
—
01
—
320532
MVP
—
01
—
5180
GHI HMO
—
01
—
600461
UNITED HEALTHCARE
—
01
—
717002
BC/BS
—
01
—
P902860
OXFORD
—
Enumeration date
05/18/2006
Last updated
05/02/2008
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