Organization
MARK LOWENHEIM, MD PLLC
Active
Organization
MARK LOWENHEIM, MD PLLC
Active
Other names
Long Island Pediatric Gastroenterology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK S LOWENHEIM MD (OWNER)
(631) 403-4507
Entity
Organization
Contact information
Practice address
1174 ROUTE 112, PORT JEFFERSON STATION, NY 11776-8033
(631) 403-4507
(631) 642-2475
Mailing address
1174 ROUTE 112, PORT JEFFERSON STATION, NY 11776-8033
(631) 403-4507
(631) 642-2475
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
170700
NY
Other
Enumeration date
10/20/2010
Last updated
10/20/2010
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