Individual
MRS. KELLY LOWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
332 TANGLEWOOD DR, STATEN ISLAND, NY 10308-1805
(917) 974-3711
Mailing address
332 TANGLEWOOD DR, STATEN ISLAND, NY 10308-1805
(917) 974-3711
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/23/2013
Last updated
10/23/2013
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