Basic Information
Provider Information
NPI: 1720309040
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LOWENSTEIN
FirstName: DANIEL
MiddleName: BRYAN
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 710 W 168TH ST
Address2:  
City: NEW YORK
State: NY
PostalCode: 100323726
CountryCode: US
TelephoneNumber: 6464263876
FaxNumber: 2123426865
Practice Location
Address1: 21 W 86TH ST
Address2:  
City: NEW YORK
State: NY
PostalCode: 100243671
CountryCode: US
TelephoneNumber: 6464263876
FaxNumber: 2123052692
Other Information
ProviderEnumerationDate: 06/21/2010
LastUpdateDate: 02/13/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084N0402X284139NYY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology

No ID Information.


Home