Individual
JESSICA LOUIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 MEDICAL PLZ STE 203, GLEN COVE, NY 11542-2101
(516) 676-1060
Mailing address
10 MEDICAL PLZ STE 203, GLEN COVE, NY 11542-2101
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
317255
NY
Other
Enumeration date
03/30/2015
Last updated
10/02/2025
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