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Individual

DR. LAURA KRISTINE BOWEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
99 E MAIN ST, SUITE 2, EAST ISLIP, NY 11730-2538
(631) 647-8324
(516) 352-0051
Mailing address
PO BOX 27, ISLIP, NY 11751-0027
(631) 647-8324
(631) 647-8324

Taxonomy

Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
X010865
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3605533
ACN
NY
01
C10865-6B
WORKER'S COMPENSATION
NY
Enumeration date
01/30/2007
Last updated
01/19/2016
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