Provider Demographics
NPI:1942641857
Name:LOUIS F. MCINTYRE MD PC
Entity Type:Organization
Organization Name:LOUIS F. MCINTYRE MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:F
Authorized Official - Last Name:MCINTYRE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-298-2620
Mailing Address - Street 1:311 NORTH STREET
Mailing Address - Street 2:SUITE 102
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10605-2232
Mailing Address - Country:US
Mailing Address - Phone:914-298-2620
Mailing Address - Fax:914-287-2008
Practice Address - Street 1:311 NORTH STREET
Practice Address - Street 2:SUITE 102
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605-2232
Practice Address - Country:US
Practice Address - Phone:914-298-2620
Practice Address - Fax:914-287-2008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-09
Last Update Date:2013-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY172889207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty