Individual
MICHAEL LEE BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2155 ROUTE 22B, MORRISONVILLE, NY 12962-3417
(518) 563-8000
(518) 563-9001
Mailing address
22 US OVAL STE 100, PLATTSBURGH, NY 12903-5901
(518) 563-8000
(518) 563-9001
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
617813
NY
Other
Enumeration date
08/23/2021
Last updated
08/23/2021
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