Provider Demographics
NPI:1194213231
Name:LOUIS S. ANGIOLETTI MD PC
Entity Type:Organization
Organization Name:LOUIS S. ANGIOLETTI MD PC
Other - Org Name:ANGIOLETTI RETINA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:S
Authorized Official - Last Name:ANGIOLETTI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-691-4200
Mailing Address - Street 1:55 FIFTH AVENUE
Mailing Address - Street 2:SUITE 1801
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003
Mailing Address - Country:US
Mailing Address - Phone:212-691-4200
Mailing Address - Fax:646-809-1964
Practice Address - Street 1:55 5TH ST SUITE 1801
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003
Practice Address - Country:US
Practice Address - Phone:718-456-0503
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-24
Last Update Date:2020-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina SpecialistGroup - Single Specialty