Individual
MISS BRIANA MICHELLE BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6725 188TH ST, FRESH MEADOWS, NY 11365-3767
(516) 287-4825
Mailing address
887 VIOLET DR, N MASSAPEQUA, NY 11758-2744
(516) 287-4825
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/20/2016
Last updated
09/20/2016
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