Individual
ANGELA J. BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHS, CASAC
Contact information
Practice address
107 E MARKET ST APT 1A, HYDE PARK, NY 12538-2055
(845) 309-4530
Mailing address
107 E MARKET ST APT 1A, HYDE PARK, NY 12538-2055
(845) 309-4530
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02740141
—
NY
Enumeration date
05/09/2008
Last updated
09/03/2014
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