Provider Demographics
NPI:1043464332
Name:ROWE, LINDA L (MAOTR/L,CO)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:L
Last Name:ROWE
Suffix:
Gender:F
Credentials:MAOTR/L,CO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:138 READE ST
Mailing Address - Street 2:FLOOR 1
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-3968
Mailing Address - Country:US
Mailing Address - Phone:212-608-9661
Mailing Address - Fax:212-608-9660
Practice Address - Street 1:138 READE ST
Practice Address - Street 2:GRD FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-3968
Practice Address - Country:US
Practice Address - Phone:212-608-9661
Practice Address - Fax:212-608-9660
Is Sole Proprietor?:No
Enumeration Date:2008-11-12
Last Update Date:2012-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003079-1174400000X
NYCO002339174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist