Provider Demographics
NPI:1629480538
Name:DR LINDA LOW, PSYCHIATRY, PC
Entity Type:Organization
Organization Name:DR LINDA LOW, PSYCHIATRY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOW
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:631-598-5017
Mailing Address - Street 1:900 WALT WHITMAN RD
Mailing Address - Street 2:SUITE LL1
Mailing Address - City:MELVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11747-2293
Mailing Address - Country:US
Mailing Address - Phone:631-598-5017
Mailing Address - Fax:631-470-8385
Practice Address - Street 1:900 WALT WHITMAN RD
Practice Address - Street 2:SUITE LL1
Practice Address - City:MELVILLE
Practice Address - State:NY
Practice Address - Zip Code:11747-2293
Practice Address - Country:US
Practice Address - Phone:631-598-5017
Practice Address - Fax:631-470-8385
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-27
Last Update Date:2014-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1677912084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty