Individual
ANTOINETTE LOWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3 SHINE PL, VALLEY STREAM, NY 11581-2915
(917) 622-1040
Mailing address
3 SHINE PL, VALLEY STREAM, NY 11581-2915
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
614865
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
614865
—
NY
Enumeration date
02/06/2023
Last updated
02/06/2023
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