Provider Demographics
NPI:1417273988
Name:LOWENSTEIN, ELIE B (MD)
Entity Type:Individual
Prefix:
First Name:ELIE
Middle Name:B
Last Name:LOWENSTEIN
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 1:258 MERRICK RD
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11572-1427
Mailing Address - Country:US
Mailing Address - Phone:516-766-0345
Mailing Address - Fax:516-634-0196
Practice Address - Street 1:258 MERRICK RD
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:NY
Practice Address - Zip Code:11572-1427
Practice Address - Country:US
Practice Address - Phone:516-766-0345
Practice Address - Fax:516-634-0196
Is Sole Proprietor?:No
Enumeration Date:2010-04-08
Last Update Date:2015-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY262831207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology