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Provider Information for 1821204090



DR. SANDRA M LOW DMD

Gender: FEMALE

Individual NPI: 1821204090

Calendar Last Updated: 2009-08-05

Details

Name Value
NPI 1821204090
Enumeration Date 2007-05-15
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 115 E 61ST ST SUITE 12N
NEW YORK, NY 10065-8183
United States

Phone: 212-752-1430 | Fax: 212-752-1469
View Map External Link
Primary Practice Address 133 E 58TH ST SUITE 904
NEW YORK, NY 10022-1236
United States

Phone: 212-752-1430 | Fax: 212-752-1469
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice NY 046362