Cornacchia, Louis Thomas

Cornacchia, Louis Thomas is an sole proprietor health care provider with primary practice located at 4528 Parsons Blvd , Flushing NY 11355-2252. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Cornacchia, Louis Thomas can be contacted via phone (718) 539-5100.

Contact Information

Primary practice address
4528 Parsons Blvd Flushing NY 11355-2252
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 130590 New York

Profile Details

NPI number 1174688964
LBN Legal business name Cornacchia, Louis Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 22nd, 2006
Last updated Jan 11th, 2008 - about 16 years ago

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 1174688964 NPPES
New York MEDICAID 00557222

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