Amblard, Louis Leonce

Amblard, Louis Leonce is an individual health care provider with primary practice located at 1000 Montauk Highway , West Islip NY 11795. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Amblard, Louis Leonce can be contacted via phone (631) 376-4027.

Contact Information

Primary practice address
1000 Montauk Highway West Islip NY 11795
Phone: (631) 376-4027
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 216663-1 New York
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 216663 New York

Profile Details

NPI number 1790752806
LBN Legal business name Amblard, Louis Leonce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Oct 5th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790752806 NPPES
New York MEDICAID 02279427

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