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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
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice NY 046362
Other Identifiers
Issuer State Number
Endpoint Information
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location