Healthcare Provider Details

I. General information

NPI: 1093919748
Provider Name (Legal Business Name): ISRAEL LOWY MD, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/14/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42 APPLETON PL
DOBBS FERRY NY
10522-2917
US

IV. Provider business mailing address

42 APPLETON PL
DOBBS FERRY NY
10522-2917
US

V. Phone/Fax

Practice location:
  • Phone: 914-674-1146
  • Fax: 914-674-0967
Mailing address:
  • Phone: 914-674-1146
  • Fax: 914-674-0967

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number163287
License Number StateNY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: