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:
Health care specialties
Specialty | Code | License # | 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 18 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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