Provider Demographics
NPI:1396764106
Name:DEPALO, LOUIS RALPH (MD)
Entity type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:RALPH
Last Name:DEPALO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:36 EAST 57TH STREET
Mailing Address - Street 2:5TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022
Mailing Address - Country:US
Mailing Address - Phone:212-600-2000
Mailing Address - Fax:646-537-9540
Practice Address - Street 1:36 EAST 57TH STREET
Practice Address - Street 2:5TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022
Practice Address - Country:US
Practice Address - Phone:212-600-2000
Practice Address - Fax:646-537-9540
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2025-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY155703174400000X, 207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No174400000XOther Service ProvidersSpecialist
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYC34732Medicare UPIN
NY58K22PA111Medicare PIN