Provider Demographics
NPI:1518342146
Name:LOW, PEI LI (RDH)
Entity Type:Individual
Prefix:
First Name:PEI
Middle Name:LI
Last Name:LOW
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4245 KISSENA BLVD APT 4G
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-3247
Mailing Address - Country:US
Mailing Address - Phone:646-886-0306
Mailing Address - Fax:
Practice Address - Street 1:30 5TH AVE SUITE 1G
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-8804
Practice Address - Country:US
Practice Address - Phone:212-673-3700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-24
Last Update Date:2020-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY028203124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist