MEDICARE: CHAYA LOWY MA

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
1	235Z00000X	Speech-Language Pathologist	019803	NY

General Provider Information

NPI Number	:	1932411402
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHAYA LOWY MA

Provider Business Mailing Address
First Line	:	1731 61ST ST
Second Line	:	APT 2F
City	:	BROOKLYN
State	:	NY
Zip	:	11204-2219
Country	:	US
Telephone Number	:	718-232-4304
Fax Number	:

Provider Business Practice Location Address
First Line	:	1731 61ST ST
Second Line	:	APT 2F
City	:	BROOKLYN
State	:	NY
Zip	:	11204-2219
Country	:	US
Telephone Number	:	718-232-4304
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2010
Last Update Date	:	06/20/2014

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Directions to “ CHAYA LOWY MA” Practice Location

Language	Start Address	Practice Location

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