Provider Demographics
NPI:1346277241
Name:LOWRY, BRIAN M (DC)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:M
Last Name:LOWRY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:452 W NORTH ST
Mailing Address - Street 2:
Mailing Address - City:GENEVA
Mailing Address - State:NY
Mailing Address - Zip Code:14456-1352
Mailing Address - Country:US
Mailing Address - Phone:315-789-0343
Mailing Address - Fax:315-789-0345
Practice Address - Street 1:452 W NORTH ST
Practice Address - Street 2:
Practice Address - City:GENEVA
Practice Address - State:NY
Practice Address - Zip Code:14456-1352
Practice Address - Country:US
Practice Address - Phone:315-789-0343
Practice Address - Fax:315-789-0345
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX009743111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY001925006OtherEMPIRE PLAN
NYP030009743OtherEXCELLUS BLUE SHIELD ROCH
NY110778ANOtherPREFERRED CARE
NYP030009743OtherCROSSBRIDGE
NYP03009743OtherEXCELLUSBLUECHOICEROCHES
NY616116OtherACN GROUP
NY7064194OtherAETNA