Healthcare Provider Details

I. General information

NPI: 1942336631
Provider Name (Legal Business Name): JAMES LEWIS HOWARD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/26/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

124 COLUMBIA HTS
BROOKLYN NY
11201-1600
US

IV. Provider business mailing address

124 COLUMBIA HTS
BROOKLYN NY
11201-1600
US

V. Phone/Fax

Practice location:
  • Phone: 718-560-5900
  • Fax: 718-560-8815
Mailing address:
  • Phone: 718-560-5900
  • Fax: 718-560-8815

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number155935
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: