Individual
ALYSSA COWNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5 E 98TH ST FL SREET4, NEW YORK, NY 10029-6501
(212) 241-8947
Mailing address
5 E 98TH ST FL 4, NEW YORK, NY 10029-6501
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
020253
NY
Other
Enumeration date
10/21/2016
Last updated
06/16/2018
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