Organization
EMMANUEL ST. LOUIS MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMANUEL ST. LOUIS M.D. (CEO)
(516) 489-3681
Entity
Organization
Contact information
Practice address
905 UNIONDALE AVE, UNIONDALE, NY 11553-3235
(516) 489-3681
(516) 489-3682
Mailing address
905 UNIONDALE AVE, UNIONDALE, NY 11553-3235
(516) 489-3681
(516) 489-3682
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
193946
NY
Other
Enumeration date
03/27/2009
Last updated
03/27/2009
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