Provider Demographics
NPI:1740799816
Name:DELOUIS, ACHIME
Entity Type:Individual
Prefix:
First Name:ACHIME
Middle Name:
Last Name:DELOUIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:818 E 22ND ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11210-2144
Mailing Address - Country:US
Mailing Address - Phone:347-853-5688
Mailing Address - Fax:718-859-9202
Practice Address - Street 1:818 E 22ND ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11210-2144
Practice Address - Country:US
Practice Address - Phone:347-853-5688
Practice Address - Fax:718-859-9202
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency