MEDICARE: DR. GAIL IRENE LOWENSTEIN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	143216	NY

General Provider Information

NPI Number	:	1144391806
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GAIL IRENE LOWENSTEIN M.D.

Provider Business Mailing Address
First Line	:	1 CAROL LN
Second Line	:
City	:	GLEN HEAD
State	:	NY
Zip	:	11545-2916
Country	:	US
Telephone Number	:	516-236-3204
Fax Number	:	516-626-7685

Provider Business Practice Location Address
First Line	:	1 CAROL LN
Second Line	:
City	:	GLEN HEAD
State	:	NY
Zip	:	11545-2916
Country	:	US
Telephone Number	:	516-236-3204
Fax Number	:	516-626-7685

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/13/2006
Last Update Date	:	01/23/2009

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