Provider Demographics
NPI:1831368281
Name:DOWE, EMILY GEORGIANNA (PA-C)
Entity type:Individual
Prefix:MISS
First Name:EMILY
Middle Name:GEORGIANNA
Last Name:DOWE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1275 SUMMER ST STE 101
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06905-5315
Mailing Address - Country:US
Mailing Address - Phone:203-323-5660
Mailing Address - Fax:203-323-8224
Practice Address - Street 1:1275 SUMMER ST STE 101
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06905-5315
Practice Address - Country:US
Practice Address - Phone:203-323-5660
Practice Address - Fax:203-323-8224
Is Sole Proprietor?:No
Enumeration Date:2008-02-29
Last Update Date:2009-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011034363A00000X
CT002117363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant