Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0401X | Family Doctor - Addiction Medicine | 138551 | NY |
NPI | 1891719621 |
---|---|
Provider Name | Dr. Robert E Lowenstein |
First Address | Utica, NY 13501-5930 |
Second Address | Utica, NY 13501-5930 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2006 |
Last Update Date | 17/09/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00600477 | (05) | NY |
P01058737 | RRMCR (01) | NY |