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NPI Code Detail

MEDICARE: MR. ANTONIO LOWE

MEDICARE:  MR. ANTONIO  LOWE
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
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1730584376
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ANTONIO LOWE
Provider Business Mailing Address
First Line : 500 8TH AVE
Second Line :
City : NEW YORK
State : NY
Zip : 10018-6504
Country : US
Telephone Number : 212-679-4960
Fax Number : 212-399-5444
Provider Business Practice Location Address
First Line : 1304 NEW YORK AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11203-6156
Country : US
Telephone Number : 718-598-2448
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2014
Last Update Date : 02/07/2024

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Directions to “ MR. ANTONIO LOWE ” Practice Location

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