Provider Demographics
NPI:1700959806
Name:ESSMAN, LOUIS (MD)
Entity Type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:
Last Name:ESSMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2920 HEMPSTEAD TPKE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:LEVITTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11756-1402
Mailing Address - Country:US
Mailing Address - Phone:516-731-3288
Mailing Address - Fax:516-796-3971
Practice Address - Street 1:2920 HEMPSTEAD TPKE
Practice Address - Street 2:SUITE 3
Practice Address - City:LEVITTOWN
Practice Address - State:NY
Practice Address - Zip Code:11756-1402
Practice Address - Country:US
Practice Address - Phone:516-731-3288
Practice Address - Fax:516-796-3971
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY085239207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00721384Medicaid
NYC06461Medicare UPIN
NY00721384Medicaid