Healthcare Provider Details
I. General information
NPI: 1215081070
Provider Name (Legal Business Name): NORMAN MAURICE ROWE, MD, MHA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/22/2007
Last Update Date: 10/28/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
50 E 69TH ST
NEW YORK NY
10021-5016
US
IV. Provider business mailing address
50 E 69TH ST
NEW YORK NY
10021-5016
US
V. Phone/Fax
- Phone: 212-628-7300
- Fax: 212-988-0158
- Phone: 212-628-7300
- Fax: 212-988-0158
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208200000X |
| Taxonomy | Plastic Surgery Physician |
| License Number | 198822 |
| License Number State | NY |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2082S0105X |
| Taxonomy | Surgery of the Hand (Plastic Surgery) Physician |
| License Number | 198822 |
| License Number State | NY |
VIII. Authorized Official
Name: DR.
NORMAN
MAURICE
ROWE
Title or Position: MD
Credential:
Phone: 212-628-7300