| NPI | 1831243807 |
|---|---|
| Former Legal Business Name | ASTRAMED PHYSICIAN PC |
| Entity Type | Organization |
| Authorized Contact | KEVIN LAMONT LOWE President/Owner 631-275-4029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 170100000X Medical Genetics, Ph.D. Medical Genetics |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2013-08-26 |