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NPI Code Detail

MEDICARE: LOUIS MULLER STLOUIS PHYSICIAN ASSISTANT

MEDICARE:   LOUIS MULLER STLOUIS  PHYSICIAN ASSISTANT
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
1227900000XRegistered Respiratory Therapist003934NY
2363A00000XPhysician Assistant8490AZ

General Provider Information

NPI Number : 1578698221
Entity Type Code : Individual
Provider Name (Legal Business Name) : LOUIS MULLER STLOUIS PHYSICIAN ASSISTANT
Provider Business Mailing Address
First Line : 68 HAWTHORNE ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11225-5763
Country : US
Telephone Number : 718-554-7807
Fax Number : 718-360-1933
Provider Business Practice Location Address
First Line : 68 HAWTHORNE ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11225-5763
Country : US
Telephone Number : 718-554-7807
Fax Number : 718-360-1933
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2007
Last Update Date : 09/24/2021

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Directions to “ LOUIS MULLER STLOUIS PHYSICIAN ASSISTANT” Practice Location

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