Lowrie P Kenigsberg, PA-C
Physician Assistant in New York, NY. Individual provider (NPI-1).
NPI number1982243259
StatusActive
Last updated in NPPESNov 14, 2023
Details
- NPI
- 1982243259
- Entity type
- Individual (NPI-1)
- Name
- Lowrie P Kenigsberg
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 3, 2020
- Certification date
- Nov 14, 2023
- Last updated
- Nov 14, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 025018-01 | NY | Yes |
| 363A00000X | Physician Assistant | 25MP00677800 | NJ |
Practice location
1305 York AveNew York, NY 10021-5663
Phone 646-962-2020
Mailing address
225 Williamson StElizabeth, NJ 07202-3625
Phone 908-994-5000
Other practice locations
225 Williamson St
Elizabeth, NJ 07202-3625
Elizabeth, NJ 07202-3625
Phone 908-994-5000
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