Provider Demographics
NPI:1538558572
Name:LOUIS E FIERROMD
Entity type:Organization
Organization Name:LOUIS E FIERROMD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:E
Authorized Official - Last Name:FIERRO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-669-5460
Mailing Address - Street 1:287A HERITAGE HILLS
Mailing Address - Street 2:
Mailing Address - City:SOMERS
Mailing Address - State:NY
Mailing Address - Zip Code:10589
Mailing Address - Country:US
Mailing Address - Phone:914-669-5460
Mailing Address - Fax:914-669-5462
Practice Address - Street 1:287A HERITAGE HILLS DR.
Practice Address - Street 2:287A HERITAGE HILLS DR.
Practice Address - City:SOMERS
Practice Address - State:NY
Practice Address - Zip Code:10589
Practice Address - Country:US
Practice Address - Phone:914-669-5460
Practice Address - Fax:914-669-5462
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-14
Last Update Date:2015-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY086835282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY=========OtherPRIVATE PRACTITIONER