Individual
DR. LOUIS DALAVERIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30 W 60TH ST, SUITE 1Y, NEW YORK, NY 10023-7902
(212) 245-0203
(212) 245-0372
Mailing address
30 W 60TH ST, SUITE 1Y, NEW YORK, NY 10023-7902
(212) 245-0203
(212) 245-0372
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
NY145813
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00758030
—
NY
Enumeration date
10/12/2006
Last updated
07/08/2007
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