Individual
RALPH EDWARD BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
170 E MAIN ST, PORT JERVIS, NY 12771-2220
(845) 856-3323
(845) 856-6107
Mailing address
20 GRAND STREET, 3RD FL, WARWICK, NY 10990-1035
(845) 987-3906
(845) 987-5979
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
167733
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01035116
—
NY
Enumeration date
09/20/2005
Last updated
07/16/2015
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