Provider Demographics
NPI:1740413178
Name:CARDI, LOUIS THOMAS
Entity Type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:THOMAS
Last Name:CARDI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 ERLAND RD
Mailing Address - Street 2:
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11790-1124
Mailing Address - Country:US
Mailing Address - Phone:631-689-8494
Mailing Address - Fax:631-689-8494
Practice Address - Street 1:33 ERLAND RD
Practice Address - Street 2:
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11790-1124
Practice Address - Country:US
Practice Address - Phone:631-689-8494
Practice Address - Fax:631-689-8494
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-02
Last Update Date:2009-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY121378207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics