Individual
CAROLINE COWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6960 108TH ST APT 711, FOREST HILLS, NY 11375-4334
(917) 482-0860
Mailing address
6960 108TH ST APT 711, FOREST HILLS, NY 11375-4334
(917) 482-0860
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/13/2015
Last updated
01/13/2015
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