Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 159685 | NY |
NPI | 1053315614 |
---|---|
Provider Name | Dr. Marcus H Loo |
First Address | New York, NY 10013-3501 |
Second Address | New York, NY 10013-3501 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2005 |
Last Update Date | 07/12/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01707271 | (05) | NY |
A61277 | (02) | NY |