Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 034177 | NY |
NPI | 1063444156 |
---|---|
Provider Name | Dr. Neil Richard Mcgowan |
First Address | East Meadow, NY 11554-2150 |
Second Address | East Meadow, NY 11554-2150 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2006 |
Last Update Date | 20/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00746052 | (05) | NY |
T49488 | (02) | NY |