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Louis R. Macdonald, Dpm, Pc

Louis R. Macdonald, Dpm, Pc is a health care provider in Moriches, NY. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 225 Montauk Hwy, Suite 113, Moriches, NY 11955-1425, US
Practice Location Phone631-878-3330
Practice Location Fax631-878-3331
Legal Business NameLOUIS R. MACDONALD, DPM, PC
NPI ?1043385149
Entity TypeOrganization
Enumeration Date ? Nov 22, 2006
Last Update Date ? Jul 8, 2007
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Louis R. Macdonald, Dpm, Pc

SpecialtySpecializationLicenseLicense State
Podiatrist N005424New York
PodiatristPrimary Podiatric Medicine N005424New York
PodiatristRadiology N005424New York
PodiatristSports Medicine N005424New York
PodiatristFoot & Ankle Surgery N005424New York
PodiatristFoot Surgery N005424New York

legacy-id-icon Legacy Provider IDs of Louis R. Macdonald, Dpm, Pc

Provider IdIssuer StateIssuer TypeIssuer
02043209New YorkMedicaid

official-icon Authorized Official of Louis R. Macdonald, Dpm, Pc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Louis R. Macdonald, Dpm, Pc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Dr. Louis R Macdonald (DPM)
Authorized Official Title/PositionPRESIDENT
Authorized Official Phone Number631-878-3330