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NPI Code Detail

MEDICARE: MRS. ANDREA MAURICE BOWEN

MEDICARE:  MRS. ANDREA MAURICE BOWEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YS0200XSchool Counselor

General Provider Information

NPI Number : 1780319806
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANDREA MAURICE BOWEN
Provider Business Mailing Address
First Line : 4010 BRUNER AVE
Second Line :
City : BRONX
State : NY
Zip : 10466-2229
Country : US
Telephone Number : 191-756-4663
Fax Number :
Provider Business Practice Location Address
First Line : 4010 BRUNER AVE
Second Line :
City : BRONX
State : NY
Zip : 10466-2229
Country : US
Telephone Number : 191-756-4663
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2022
Last Update Date : 07/21/2022

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Directions to “ MRS. ANDREA MAURICE BOWEN ” Practice Location

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