# JAY C COWAN MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124162714
- **Authorized official:** DR. JAY C COWAN MD (MD)
- **Authorized official phone:** (212) 281-5252

## Contact information

- **Practice address:** 470 MALCOLM X BLVD, SUITE 1E, NEW YORK, NY 10037-3003
- **Practice address phone:** (212) 281-5252
- **Practice address fax:** (212) 690-3662
- **Mailing address:** 470 MALCOLM X BLVD, SUITE 1E, NEW YORK, NY 10037-3003
- **Mailing address phone:** (212) 281-5252
- **Mailing address fax:** (212) 690-3662

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | 201885 | NY | Yes |

## Other

- **Enumeration date:** 02/16/2007
- **Last updated:** 05/01/2008
