Individual
DR. NEIL RICHARD MCGOWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
30 NEWBRIDGE RD STE 204, EAST MEADOW, NY 11554-2150
(516) 520-8688
(516) 520-8676
Mailing address
30 NEWBRIDGE RD STE 204, EAST MEADOW, NY 11554-2150
(516) 520-8688
(516) 520-8676
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
034177
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00746052
—
NY
Enumeration date
07/07/2006
Last updated
07/20/2007
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