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NPI Code Detail

MEDICARE: LOUIS LEONARD CREGLER M.D.

MEDICARE:   LOUIS LEONARD CREGLER  M.D.
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 Physician134213NY

General Provider Information

NPI Number : 1235193921
Entity Type Code : Individual
Provider Name (Legal Business Name) : LOUIS LEONARD CREGLER M.D.
Provider Business Mailing Address
First Line : 160 CONVENT AVE
Second Line : SUITE H-301
City : NEW YORK
State : NY
Zip : 10031-9101
Country : US
Telephone Number : 212-650-7624
Fax Number : 212-650-7690
Provider Business Practice Location Address
First Line : 160 CONVENT AVE
Second Line : SUITE H-301
City : NEW YORK
State : NY
Zip : 10031-9101
Country : US
Telephone Number : 212-650-7624
Fax Number : 212-650-7690
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2006
Last Update Date : 07/08/2007

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