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DR. MICHAEL TIMOTHY STOWE PHD

Clinical Neuropsychologist

Mount Vernon, New York

Provider NPI: 1104832104

Provider Information:
DR. MICHAEL TIMOTHY STOWE PHD
Gender: M
Sole Proprietor


Practice Location:
625 GRAMATAN AVE SUITE ST-O MOUNT VERNON, NY 10552 US
Tel: 914-668-6621  Fax: 914-663-4130

Business Mailing Address:
625 GRAMATAN AVE SUITE ST-O MOUNT VERNON, NY 10552 US
Tel: 914-668-6621  Fax: 914-663-4130

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
X103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
NY012979
X103TC0700XBehavioral Health & Social Service Providers
Psychologist
NY012979

Other Provider Identifiers:

IssuerNumberStateType
HIP OF NEW YORK0129796801
CARE MANAGEMENT ORGANIZAT1928601
AETNA US HEALTHCARE HMO257370901
GHI680442301
AFFINITY HEALTHCARE1402659501
UNITED BEHAVIORAL HEALTH8772601
HEALTHNETOH231901
HIP PAPER ID5524701
HEALTHFIRST012979A3701
02131313NY05
AETNA US HEALTHCARE769426701
OXFORD HEALTH PLANSP235257001
EMPIRE BLUE CROSS BLUE SHV161X201
MULTIPLANP1200773401
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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