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NPI Code Detail

MEDICARE: ALIZAH K LOWELL LCSW

MEDICARE:   ALIZAH K LOWELL  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker078150NY

General Provider Information

NPI Number : 1265865174
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALIZAH K LOWELL LCSW
Provider Business Mailing Address
First Line : 155 W 72ND ST
Second Line : SUITE 407
City : NEW YORK
State : NY
Zip : 10023-3250
Country : US
Telephone Number : 646-543-8858
Fax Number :
Provider Business Practice Location Address
First Line : 155 W 72ND ST
Second Line : SUITE 407
City : NEW YORK
State : NY
Zip : 10023-3250
Country : US
Telephone Number : 646-543-8858
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2013
Last Update Date : 07/14/2014

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Directions to “ ALIZAH K LOWELL LCSW” Practice Location

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