Lowenheim, Mark

Lowenheim, Mark is an sole proprietor health care provider with primary practice located at 200 Belle Terre Rd Suite 400, Port Jefferson NY 11777-1928. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as his primary health care specialty. Lowenheim, Mark can be contacted via phone (631) 403-4507.

Contact Information

Primary practice address
200 Belle Terre Rd Suite 400 Port Jefferson NY 11777-1928
Phone: (631) 403-4507
Fax: (631) 509-4614
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 170700 New York

Profile Details

NPI number 1285676429
LBN Legal business name Lowenheim, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 2006
Last updated Jun 15th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285676429 NPPES
New York MEDICAID 01209796
New York Other 21F92
New York Other 4229601

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