Provider Demographics
NPI:1154311249
Name:PASQUALE, LOUIS ROBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:ROBERT
Last Name:PASQUALE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1183
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-0312
Mailing Address - Country:US
Mailing Address - Phone:212-241-6752
Mailing Address - Fax:212-241-5764
Practice Address - Street 1:1 GUSTAVE L LEVY PL
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6504
Practice Address - Country:US
Practice Address - Phone:212-241-6752
Practice Address - Fax:212-241-5764
Is Sole Proprietor?:No
Enumeration Date:2005-10-28
Last Update Date:2018-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA75555207W00000X
NY293445207WX0009X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0009XAllopathic & Osteopathic PhysiciansOphthalmologyGlaucoma Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology