Dr. Ivan Darius Gowan
Sports Medicine Orthopaedic Surgeon
85 College St
Hamilton
, New York 13346-1227
Dr. Ivan Darius Gowan
Sports Medicine Orthopaedic Surgeon
85 College St
Hamilton
, New York 13346-1227
(315) 824-1250
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About
Features
Specialties
- Sports Medicine Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Ivan Darius Gowan
- 85 College St
- Hamilton, NY
- Zip : 13346-1227
- Phone : (315) 824-1250
Second Address
- Dr. Ivan Darius Gowan
- 85 College St
- Hamilton, NY
- Zip : 13346-1227
- Phone : (315) 824-1250
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 153105 | NY |
National Provider Identifier
| NPI | 1235198490 |
|---|---|
| Provider Name | Dr. Ivan Darius Gowan |
| First Address | Hamilton, NY 13346-1227 |
| Second Address | Hamilton, NY 13346-1227 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/03/2006 |
| Last Update Date | 14/09/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00842957 | (05) | NY |
| B82475 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.