St Louis, Emmanuel

St Louis, Emmanuel is an sole proprietor health care provider with primary practice located at 905 Uniondale Ave , Uniondale NY 11553-3235. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. St Louis, Emmanuel can be contacted via phone (516) 489-3681.

Contact Information

Primary practice address
905 Uniondale Ave Uniondale NY 11553-3235
Phone: (516) 489-3681
Fax: (516) 489-3682
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 193946 New York
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 193946 New York

Profile Details

NPI number 1114937968
LBN Legal business name St Louis, Emmanuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 8th, 2006
Last updated May 19th, 2020 - about 4 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 1114937968 NPPES
New York MEDICAID 01517697

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