Provider Demographics
NPI:1144391806
Name:LOWENSTEIN, GAIL IRENE (MD)
Entity Type:Individual
Prefix:DR
First Name:GAIL
Middle Name:IRENE
Last Name:LOWENSTEIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:GAIL
Other - Middle Name:IRENE
Other - Last Name:EHRLICH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1 CAROL LN
Mailing Address - Street 2:
Mailing Address - City:GLEN HEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11545-2916
Mailing Address - Country:US
Mailing Address - Phone:516-236-3204
Mailing Address - Fax:516-626-7685
Practice Address - Street 1:1 CAROL LN
Practice Address - Street 2:
Practice Address - City:GLEN HEAD
Practice Address - State:NY
Practice Address - Zip Code:11545-2916
Practice Address - Country:US
Practice Address - Phone:516-236-3204
Practice Address - Fax:516-626-7685
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2009-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY143216207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY15DO21Medicare ID - Type Unspecified
NYBO4884Medicare UPIN