Individual
MR. LOUIS PANSULLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
49 W 24TH ST, SUITE 910, NEW YORK, NY 10010-3206
(212) 633-8070
Mailing address
49 W 24TH ST, SUITE 910, NEW YORK, NY 10010-3206
(212) 633-8070
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
056598-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P979822
OXFORD INSURANCE
NY
Enumeration date
05/08/2007
Last updated
07/08/2007
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