Individual
CARRIE BOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
30 BROAD ST, 45TH FLOOR, NEW YORK, NY 10004-2304
(212) 530-0630
(212) 867-4353
Mailing address
30 BROAD ST, 45TH FLOOR, NEW YORK, NY 10004-2304
(212) 530-0630
(212) 867-4353
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20A9581
CA
207Q00000X
Family Medicine Physician
Primary
261003
NY
Other
Enumeration date
06/07/2006
Last updated
05/04/2012
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