Macdonald, Louis R.

Macdonald, Louis R. is an individual health care provider with primary practice located at 225 Montauk Hwy Suite 113, Moriches NY 11955-1425. He recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Macdonald, Louis R. can be contacted via phone (631) 878-3330.

Contact Information

Primary practice address
225 Montauk Hwy Suite 113 Moriches NY 11955-1425
Phone: (631) 878-3330
Fax: (631) 878-3331
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X NOO5424 New York
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X NOO5424 New York
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X NOO5424 New York

Profile Details

NPI number 1982605572
LBN Legal business name Macdonald, Louis R.
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2005
Last updated Aug 31st, 2022 - about 2 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 1982605572 NPPES
New York MEDICAID 02043209

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