Dominique St Louis

NPI #1295158871 in Uniondale, New York

Provider Information

NPI Number: 1295158871
Entity Type: Individual
Name: Dominique St Louis
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Feb 1, 2014
Last Updated: Feb 3, 2014

Practice Location

Address: 905 UNIONDALE AVE
City: Uniondale
State: New York
ZIP Code: 11553-3235
Phone: (516) 770-7162

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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