Provider Demographics
NPI:1154430064
Name:LOWE, R SANDLIN (MD)
Entity type:Individual
Prefix:
First Name:R
Middle Name:SANDLIN
Last Name:LOWE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:171 E 74 STREET
Mailing Address - Street 2:UNIT 1-1
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021
Mailing Address - Country:US
Mailing Address - Phone:917-388-3090
Mailing Address - Fax:917-382-1974
Practice Address - Street 1:171 E 74 STREET
Practice Address - Street 2:UNIT 1-1
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021
Practice Address - Country:US
Practice Address - Phone:917-388-3090
Practice Address - Fax:917-722-6951
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1798652084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry