Individual
CARLINE LOUIS-JACQUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H.
Contact information
Practice address
147 LAKE ST, NEWBURGH, NY 12550-5263
(845) 563-8000
Mailing address
2570 ROUTE 9W STE 10, CORNWALL, NY 12518-1370
(845) 220-3100
(845) 534-2940
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
186848
NY
207V00000X
Obstetrics & Gynecology Physician
G86204
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G862040
—
CA
05
—
01427536
—
NY
Enumeration date
11/22/2006
Last updated
03/29/2022
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