Organization
MARTIN COWAN MDPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN COWAN MD (MD/PRESIDENT)
(845) 794-5558
Entity
Organization
Contact information
Practice address
23 HIGH ST, MONTICELLO, NY 12701-1331
(845) 794-5558
(845) 794-0135
Mailing address
23 HIGH ST, MONTICELLO, NY 12701-1331
(845) 794-5558
(845) 794-0135
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
090532
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0041203
GHI
NY
05
—
00528010
—
NY
01
—
167101
MVP
NY
01
—
27334
BLUE CROSS
NY
01
—
27436
AETNA
NY
01
—
3878
GHIHMO
NY
01
—
P423820
OXFORD HEALTH
NY
Enumeration date
07/12/2006
Last updated
08/22/2020
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