Provider Demographics
NPI:1427629682
Name:LOUIS E. FIERRO, JR, D.C., P.C.
Entity type:Organization
Organization Name:LOUIS E. FIERRO, JR, D.C., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:
Authorized Official - Last Name:FIERRO
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:941-242-4700
Mailing Address - Street 1:8 DOGWOOD LN
Mailing Address - Street 2:
Mailing Address - City:KATONAH
Mailing Address - State:NY
Mailing Address - Zip Code:10536-3214
Mailing Address - Country:US
Mailing Address - Phone:914-242-4700
Mailing Address - Fax:
Practice Address - Street 1:605 MADISON AVE FL 4
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-1738
Practice Address - Country:US
Practice Address - Phone:914-242-4700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-08
Last Update Date:2021-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports MedicineGroup - Multi-Specialty