Provider Demographics
NPI:1245205913
Name:LOW, JULIE Y (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:Y
Last Name:LOW
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:928 BROADWAY
Mailing Address - Street 2:SUITE 600
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-6008
Mailing Address - Country:US
Mailing Address - Phone:646-342-3090
Mailing Address - Fax:646-304-7946
Practice Address - Street 1:315 HUDSON ST FL 4
Practice Address - Street 2:FEGS/NYSD
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-1009
Practice Address - Country:US
Practice Address - Phone:646-342-3090
Practice Address - Fax:646-304-7946
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-17
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY2316012084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY435BK1Medicare ID - Type Unspecified
NY02590210Medicare ID - Type Unspecified
I14273Medicare UPIN