Individual
MR. LOUISNER VICTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
459 PLATTEKILL ARDONIA RD, WALLKILL, NY 12589-4636
(845) 926-0666
Mailing address
459 PLATTEKILL ARDONIA RD, WALLKILL, NY 12589-4636
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47-5522833
—
NY
Enumeration date
09/10/2018
Last updated
09/10/2018
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