Individual
DR. BRUCE KENNETH LOWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 NORTHERN BLVD, GREAT NECK, NY 11021-5312
(516) 482-0162
(516) 482-0165
Mailing address
1000 NORTHERN BLVD, GREAT NECK, NY 11021-5312
(516) 482-0162
(516) 482-0165
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
133929-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00385433
—
NY
Enumeration date
09/20/2006
Last updated
07/06/2010
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