Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist | 193088 | NY |
NPI | 1689756827 |
---|---|
Provider Name | Dr. Kevin L Lowe |
First Address | Melville, NY 11747-4134 |
Second Address | Saint Albans, NY 11412-2622 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/10/2006 |
Last Update Date | 18/09/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01454291 | (05) | NY |
F64782 | (02) | NY |