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NPI Code Detail

MEDICARE: LOUIS H THELUSMOND MD

MEDICARE:   LOUIS H THELUSMOND  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician199382NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336161603
Entity Type Code : Individual
Provider Name (Legal Business Name) : LOUIS H THELUSMOND MD
Provider Business Mailing Address
First Line : 11 EAST ARTISAN AVENUE
Second Line :
City : HUNTINGTON
State : NY
Zip : 11743-2937
Country : US
Telephone Number : 631-367-0366
Fax Number : 888-849-3996
Provider Business Practice Location Address
First Line : 4801 FORT HAMILTON PARKWAY
Second Line :
City : BROOKLYN
State : NY
Zip : 11219-2937
Country : US
Telephone Number : 718-972-9712
Fax Number : 888-849-3996
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2006
Last Update Date : 09/26/2017

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Directions to “ LOUIS H THELUSMOND MD” Practice Location

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