Individual
DR. LOUIS R. MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
225 MONTAUK HWY STE 113, MORICHES, NY 11955-1411
(631) 878-3330
(631) 878-3331
Mailing address
225 MONTAUK HWY STE 113, MORICHES, NY 11955-1411
(631) 878-3330
(631) 878-3331
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
NOO5424
NY
213EP1101X
Primary Podiatric Medicine Podiatrist
NOO5424
NY
213ES0131X
Foot Surgery Podiatrist
NOO5424
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02043209
—
NY
Enumeration date
08/03/2005
Last updated
04/03/2025
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