Individual
MISS COLLEEN BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED (BIRTH-2 SPED)
Contact information
Practice address
36 AUSTIN AVE, STATEN ISLAND, NY 10305-4502
(631) 766-1992
Mailing address
36 AUSTIN AVE, STATEN ISLAND, NY 10305-4502
(631) 766-1992
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
342302406
NY
252Y00000X
Early Intervention Provider Agency
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Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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