Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | 131379 | NY |
Y | 207K00000X | Allergist & Immunologist | 25MA03767100 | NJ |
NPI | 1205802055 |
---|---|
Provider Name | Beth G Louie |
First Address | Warwick, NY 10990-4114 |
Second Address | Warwick, NY 10990-4114 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2006 |
Last Update Date | 30/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00345919 | (05) | NY |
030005438 | RAILROAD MEDICARE (01) | |
169639P | HIP PRIS (01) | |
2099821 | GHI (01) | |
213824 | WELLCARE (01) | |
3124889 | AETNA HMO (01) | |
4C5129 | HEALTHNET (01) | |
5362617 | AETNA PPO (01) | |
5N6671 | WELLCHOICE (01) | |
71233 | GHI HMO (01) | |
9109891007 | CIGNA (01) | |
BL6378269 | DEA (01) | |
C09783 | (02) | |
P2717817 | OXFORD (01) |