Individual
NELLY T LOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
198 CANAL STREET, SUITE 503, NEW YORK, NY 10013
(212) 267-7200
(212) 962-4402
Mailing address
198 CANAL STREET, SUITE 503, NEW YORK, NY 10013
(212) 267-7200
(212) 962-4402
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
174767
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01500747
—
NY
01
—
043675
UNITED HEALTHCAREMEDICARE
—
01
—
0M463P
HIP
—
01
—
133685785
HEALTH NET
—
01
—
13G681
BLUE CROSS BLUE SHIELD
—
01
—
1492032
PHCS
—
01
—
1537194
UNITED HEALTHCARE
—
01
—
246015812
GHI UNITE
—
01
—
2502050
GHI
—
01
—
273472
WELLCARE
—
01
—
273507
WELLCARE ENDO SPECIALIST
—
01
—
7158021
CIGNA PPO
—
01
—
M4071
VYTRA
—
01
—
NP560
OXFORD
—
Enumeration date
03/23/2006
Last updated
08/03/2010
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