Individual
BRADLEY COWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1680 WALDEN AVE, CHEEKTOWAGA, NY 14225-4914
(716) 894-7777
(716) 894-0604
Mailing address
66 N HANFORD AVE # WE, JAMESTOWN, NY 14701-2731
(716) 665-2455
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
284111
NY
Other
Enumeration date
09/24/2007
Last updated
09/24/2007
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