Healthcare Provider Details

I. General information

NPI: 1275684102
Provider Name (Legal Business Name): JAMES E. LOUIE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/16/2007
Last Update Date: 10/02/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27005 76TH AVE LONG ISLAND JEWISH MEDICAL CENTER
NEW HYDE PARK NY
11040-1402
US

IV. Provider business mailing address

27005 76TH AVE LONG ISLAND JEWISH MEDICAL CENTER
NEW HYDE PARK NY
11040-1402
US

V. Phone/Fax

Practice location:
  • Phone: 718-470-7137
  • Fax: 718-343-2647
Mailing address:
  • Phone: 718-470-7137
  • Fax: 718-343-2647

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZB0001X
TaxonomyBlood Banking & Transfusion Medicine Physician
License Number139646
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207RH0000X
TaxonomyHematology (Internal Medicine) Physician
License Number139646
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: