MEDICARE: DR. HOWARD LOUIS D.P.M.

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
1	213E00000X	Podiatrist	N003666	NY

Other Identifiers

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

General Provider Information

NPI Number	:	1780661561
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HOWARD LOUIS D.P.M.

Provider Business Mailing Address
First Line	:	21 BIRCH LN
Second Line	:
City	:	RYE BROOK
State	:	NY
Zip	:	10573-5512
Country	:	US
Telephone Number	:	914-939-5932
Fax Number	:

Provider Business Practice Location Address
First Line	:	81 ELIZABETH ST
Second Line	:	SUITE 301
City	:	NEW YORK
State	:	NY
Zip	:	10013-4729
Country	:	US
Telephone Number	:	212-343-8092
Fax Number	:	212-343-8045

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/22/2005
Last Update Date	:	05/29/2015

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