Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 036353 | NY |
NPI | 1013230978 |
---|---|
Provider Name | Dr. Stephen P Bowne |
First Address | New York, NY 10022-5501 |
Second Address | New York, NY 10022-5501 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2010 |
Last Update Date | 08/03/2010 |