Individual
DR. MICHAEL TIMOTHY STOWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
625 GRAMATAN AVE, SUITE ST-O, MOUNT VERNON, NY 10552-1839
(914) 668-6621
(914) 663-4130
Mailing address
625 GRAMATAN AVE, SUITE ST-O, MOUNT VERNON, NY 10552-1839
(914) 668-6621
(914) 663-4130
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
012979
NY
103TC0700X
Clinical Psychologist
Primary
012979
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01297968
HIP OF NEW YORK
—
01
—
012979A37
HEALTHFIRST
—
05
—
02131313
—
NY
01
—
14026595
AFFINITY HEALTHCARE
—
01
—
19286
CARE MANAGEMENT ORGANIZAT
—
01
—
2573709
AETNA US HEALTHCARE HMO
—
01
—
55247
HIP PAPER ID
—
01
—
6804423
GHI
—
01
—
7694267
AETNA US HEALTHCARE
—
01
—
87726
UNITED BEHAVIORAL HEALTH
—
01
—
OH2319
HEALTHNET
—
01
—
P12007734
MULTIPLAN
—
01
—
P2352570
OXFORD HEALTH PLANS
—
01
—
V161X2
EMPIRE BLUE CROSS BLUE SH
—
Enumeration date
07/31/2006
Last updated
09/11/2025
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