| Jonathan Lowell, M.d. P.c. | |
|
130 Park St Malone NY 12953-1250 | |
| (518) 483-1120 | |
| Not Available |
| Full Name | Jonathan Lowell, M.d. P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 130 Park St, Malone, New York |
| Authorized Official Name and Position | Jonathan Lowell (OWNER) |
| Authorized Official Contact | 5184831120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Lowell, M.d. P.c. 130 Park St Malone NY 12953-1250 Ph: (518) 483-1120 | Jonathan Lowell, M.d. P.c. 130 Park St Malone NY 12953-1250 Ph: (518) 483-1120 |
| NPI Number | 1376730978 |
|---|---|
| Provider Enumeration Date | 09/27/2007 |
| Last Update Date | 09/28/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376730978 | NPI | - | NPPES |
| 00632655 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 134140 (New York) | Primary |
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