Individual
SHERITA S BOWIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
821 E MAIN ST APT J6, RIVERHEAD, NY 11901-2501
(631) 905-1637
Mailing address
821 E MAIN ST APT J6, RIVERHEAD, NY 11901-2501
(631) 906-1637
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
NY
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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