Individual
DR. LOUIS ZIMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
380 WASHINGTON AVE, PSYCHOLOGY DEPT., ROOSEVELT, NY 11575-1845
(516) 378-2000
Mailing address
380 WASHINGTON AVE, PSYCHOLOGY DEPT., ROOSEVELT, NY 11575-1845
(516) 378-2000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
00011694
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00011694
—
NY
01
—
P001135586
RRPRV
—
Enumeration date
08/02/2006
Last updated
10/01/2010
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