Healthcare Provider Details

I. General information

NPI: 1124852918
Provider Name (Legal Business Name): DISCOVERY MEDICAL NYC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2024
Last Update Date: 08/26/2024
Certification Date: 08/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11920 80TH RD
KEW GARDENS NY
11415-1106
US

IV. Provider business mailing address

711 E 94TH ST
BROOKLYN NY
11236-1442
US

V. Phone/Fax

Practice location:
  • Phone: 718-301-8403
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DANIEL V LOWE
Title or Position: OWNER
Credential: MD
Phone: 646-371-3972