MEDICARE: DR. JAMIE A. ROWER

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
1	1223G0001X	General Practice Dentistry	30639	NY

General Provider Information

NPI Number	:	1881719755
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMIE A. ROWER

Provider Business Mailing Address
First Line	:	2 OMNI CT
Second Line	:
City	:	NEW CITY
State	:	NY
Zip	:	10956-5211
Country	:	US
Telephone Number	:	845-634-5925
Fax Number	:	845-634-8242

Provider Business Practice Location Address
First Line	:	2 OMNI CT
Second Line	:
City	:	NEW CITY
State	:	NY
Zip	:	10956-5211
Country	:	US
Telephone Number	:	845-634-5925
Fax Number	:	845-634-8242

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2007
Last Update Date	:	07/08/2007

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