Provider Demographics
NPI:1679754238
Name:LOW, ERIKA (PA)
Entity Type:Individual
Prefix:MS
First Name:ERIKA
Middle Name:
Last Name:LOW
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 POST RD WEST
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:WESTPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06880-4703
Mailing Address - Country:US
Mailing Address - Phone:203-332-3272
Mailing Address - Fax:
Practice Address - Street 1:550 1ST AVE
Practice Address - Street 2:HCC 14
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6402
Practice Address - Country:US
Practice Address - Phone:212-263-5656
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-23
Last Update Date:2020-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT4965363AM0700X
NY012301363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Single Specialty