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Individual

MR. KEVIN GERARD BOWLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
5 GEORGIA AVE, LONG BEACH, NY 11561-1231
(516) 705-4466
Mailing address
5 GEORGIA AVE, LONG BEACH, NY 11561-1231
(516) 705-4466
(516) 705-4466

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
564584
NY

Other

Enumeration date
07/25/2012
Last updated
07/25/2012
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