Provider Demographics
NPI:1780661561
Name:LOUIS, HOWARD (DPM)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:
Last Name:LOUIS
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 BIRCH LN
Mailing Address - Street 2:
Mailing Address - City:RYE BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:10573-5512
Mailing Address - Country:US
Mailing Address - Phone:914-939-5932
Mailing Address - Fax:
Practice Address - Street 1:81 ELIZABETH ST
Practice Address - Street 2:SUITE 301
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-4729
Practice Address - Country:US
Practice Address - Phone:212-343-8092
Practice Address - Fax:212-343-8045
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-22
Last Update Date:2015-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN003666213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00845712Medicaid
T32139Medicare UPIN
PA7641Medicare ID - Type Unspecified