Stowe, Michael Timothy

Stowe, Michael Timothy is an sole proprietor health care provider with primary practice located at 625 Gramatan Ave Suite St-O, Mount Vernon NY 10552-1839. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Stowe, Michael Timothy can be contacted via phone (914) 668-6621.

Contact Information

Primary practice address
625 Gramatan Ave Suite St-O Mount Vernon NY 10552-1839
Phone: (914) 668-6621
Fax: (914) 663-4130
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 012979 New York
Behavioral Health & Social Service Providers / Clinical 103TC0700X 012979 New York

Profile Details

NPI number 1104832104
LBN Legal business name Stowe, Michael Timothy
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2006
Last updated Jul 8th, 2007 - about 17 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 1104832104 NPPES
Other 6804423 GHI
Other 012979A37 GHI
Other P12007734 GHI
MEDICAID 02131313 GHI
Other P2352570 GHI
Other V161X2 GHI
Other 19286 GHI
Other 55247 GHI
Other 14026595 GHI
Other 7694267 GHI
Other 87726 GHI
Other 01297968 GHI
Other OH2319 GHI
Other 2573709 GHI

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