Individual
JEAN E LOUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSED
Contact information
Practice address
8038 211TH ST, QUEENS VILLAGE, NY 11427-1013
(844) 344-4445
Mailing address
1 47 PLYMOUTH DR, SCARSDALE, NY 10583-6842
(631) 944-1103
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/29/2018
Last updated
01/29/2018
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