Provider Demographics
NPI:1821204090
Name:LOW, SANDRA M (DMD)
Entity Type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:M
Last Name:LOW
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:115 E 61ST ST
Mailing Address - Street 2:SUITE 12N
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-8183
Mailing Address - Country:US
Mailing Address - Phone:212-752-1430
Mailing Address - Fax:212-752-1469
Practice Address - Street 1:133 E 58TH ST
Practice Address - Street 2:SUITE 904
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-1236
Practice Address - Country:US
Practice Address - Phone:212-752-1430
Practice Address - Fax:212-752-1469
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2009-08-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY0463621223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice