Individual
DR. EZRA COWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
137 E 36TH ST, NEW YORK, NY 10016-3528
(646) 965-6126
Mailing address
6 WOODWARD AVE, CLIFTON, NJ 07012-1227
(646) 965-6126
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
024606
NY
Other
Enumeration date
10/21/2021
Last updated
10/21/2021
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