Individual
DR. JOHN J BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
5225 NESCONSET HWY STE 49, PORT JEFFERSON STATION, NY 11776-2060
(631) 331-7857
(631) 476-4624
Mailing address
71 SADDLE ROCK RD, EAST SETAUKET, NY 11733-1829
(631) 751-5807
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5893
NY
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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