Basic Information
| Provider Information | |||||||||
| NPI: | 1023314283 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | JEFFREY KEE LOW M.D. P.C. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8604 65TH DR | ||||||||
| Address2: | |||||||||
| City: | REGO PARK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 113745006 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9178214729 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1ST AVENUE AND 16TH STREET | ||||||||
| Address2: | BETH ISRAEL MEDICAL CENTER | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 10003 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2124202000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/07/2011 | ||||||||
| LastUpdateDate: | 02/07/2011 | ||||||||
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| AuthorizedOfficialLastName: | LOW | ||||||||
| AuthorizedOfficialFirstName: | GWENDOLYN | ||||||||
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| AuthorizedOfficialTitleorPosition: | OFFICE MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 9178214729 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 217510 | NY | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.