Healthcare Provider Details

I. General information

NPI: 1619057916
Provider Name (Legal Business Name): YOLAINE M ST.LOUIS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

905 UNIONDALE AVE
UNIONDALE NY
11553-3235
US

IV. Provider business mailing address

905 UNIONDALE AVE
UNIONDALE NY
11553-3235
US

V. Phone/Fax

Practice location:
  • Phone: 516-485-4630
  • Fax: 516-489-3682
Mailing address:
  • Phone: 516-485-4630
  • Fax: 516-489-3682

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number155165
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code2080P0205X
TaxonomyPediatric Endocrinology Physician
License Number155165
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: