Organization
MARC XAVIER BOWEN, PHYSICIAN P.C.
Active
Other names
MXBowen, Physician P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC BOWEN M.D. (PRESIDENT/CEO)
(212) 480-7010
Entity
Organization
Contact information
Practice address
209 W 19TH ST, NEW YORK, NY 10011-4001
(212) 480-4062
(646) 582-1434
Mailing address
209 W 19TH ST, NEW YORK, NY 10011-4001
(212) 480-4062
(646) 582-1434
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
197205
NY
261QP2300X
Primary Care Clinic/Center
197205
NY
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
197205
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01537282
—
NY
Enumeration date
04/08/2013
Last updated
01/19/2024
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