Individual
SUSAN QUARTY BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
255 WEST RD, CUTCHOGUE, NY 11935-2270
(631) 827-4146
Mailing address
255 WEST RD, CUTCHOGUE, NY 11935-2270
(631) 827-4146
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
200190-1
NY
Other
Enumeration date
09/23/2013
Last updated
09/23/2013
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