Healthcare Provider Details

I. General information

NPI: 1174550651
Provider Name (Legal Business Name): SAMANTHA CAYLEY LOWE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2006
Last Update Date: 06/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99 BUSINESS PARK DR
ARMONK NY
10504-1720
US

IV. Provider business mailing address

41 E POST RD
WHITE PLAINS NY
10601-4607
US

V. Phone/Fax

Practice location:
  • Phone: 914-849-7900
  • Fax:
Mailing address:
  • Phone: 914-849-7900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number231183
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: