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NPI Code Detail

MEDICARE: REBECCA BEVERLY KOW MD

MEDICARE: REBECCA BEVERLY KOW MD
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
1390200000XStudent in an Organized Health Care Education/Training Program
2207Q00000XFamily Medicine Physician343995NY

General Provider Information

NPI Number : 1467148718
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA BEVERLY KOW MD
Provider Business Mailing Address
First Line : 12801 SW 96TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33176-5753
Country : US
Telephone Number : 469-525-0957
Fax Number :
Provider Business Practice Location Address
First Line : 525 E 68TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10065-4870
Country : US
Telephone Number : 646-962-5437
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2023
Last Update Date : 05/26/2026

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