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Individual

KIZZY BOWEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
67 E 89TH ST, BROOKLYN, NY 11236-1003
(347) 256-9252
Mailing address
67 E 89TH ST, BROOKLYN, NY 11236-1003
(347) 256-9252

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
563460450
NY

Other

Enumeration date
12/18/2018
Last updated
12/18/2018
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