| Emmanuel St. Louis Md Pc | |
|
905 Uniondale Ave Uniondale NY 11553-3235 | |
| (516) 489-3681 | |
| (516) 489-3682 |
| Full Name | Emmanuel St. Louis Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 905 Uniondale Ave, Uniondale, New York |
| Authorized Official Name and Position | Emmanuel St. Louis (CEO) |
| Authorized Official Contact | 5164893681 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emmanuel St. Louis Md Pc 905 Uniondale Ave Uniondale NY 11553-3235 Ph: (516) 489-3681 | Emmanuel St. Louis Md Pc 905 Uniondale Ave Uniondale NY 11553-3235 Ph: (516) 489-3681 |
| NPI Number | 1417199027 |
|---|---|
| Provider Enumeration Date | 03/27/2009 |
| Last Update Date | 03/27/2009 |
| Medicare PECOS PAC ID | 7416004593 |
|---|---|
| Medicare Enrollment ID | O20090407000007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417199027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 193946 (New York) | Primary |
| Provider Name | Emmanuel St Louis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114937968 PECOS PAC ID: 6901886225 Enrollment ID: I20040726000495 |
| Provider Name | Thierry Duchatellier |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619987120 PECOS PAC ID: 7315956596 Enrollment ID: I20060417000534 |
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