Individual
DR. JOSEPH LOIODICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
487 LAKE AVE, SAINT JAMES, NY 11780-2233
(631) 584-6152
(631) 584-8063
Mailing address
487 LAKE AVE, SAINT JAMES, NY 11780-2233
(631) 584-6152
(631) 584-8063
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
140027
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000379401 07
UNITED HEALTHCARE
NY
05
—
00714750
—
NY
01
—
0313243
CIGNA
NY
01
—
1018319
AETNA
NY
01
—
2418
VYTRA
NY
01
—
5269A
BCBS
NY
01
—
9646484
GHI
NY
01
—
CP555
OXFORD
NY
Enumeration date
01/03/2007
Last updated
07/08/2007
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