Individual
LEONIE GENUS COWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS RDCN
Contact information
Practice address
1607 ROUTE 300, SUITE 102, NEWBURGH, NY 12550-1738
(845) 564-9853
(845) 564-6974
Mailing address
1607 ROUTE 300, SUITE 102, NEWBURGH, NY 12550-1738
(845) 564-9853
(845) 564-6974
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
001475-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001475-1
LICENSED DIETITICIAN
NY
Enumeration date
05/02/2007
Last updated
07/08/2007
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