Bradley Cowan LPN

NPI 1023204096 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1023204096
Gender Male
Enumeration Date 09/24/2007
Last Updated 09/24/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1680 WALDEN AVE
CHEEKTOWAGA NY, 14225-4914, US
Phone (716) 894-7777
Fax (716) 894-0604
Business Location
66 N HANFORD AVE # WE
JAMESTOWN NY, 14701-2731, US
Phone (716) 665-2455
Fax
Toxanomy
Taxonomy Code 164W00000X
License State New York
License Number 284111
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According to our database, Bradley Cowan LPN NPI is 1023204096, taxonomy code is 164W00000X and license number is 284111, license state is located at New York. Bradley Cowan LPN physically located at 1680 Walden Ave, Cheektowaga NY, 14225-4914. NPI Number Bradley Cowan LPN has the Individual type.

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1023204096 NPI number is provided on an as is basis without warranty of any kind. 1023204096 is maintained by the National Plan & Provider Enumeration System. The contents of Bradley Cowan LPN are for informational purposes only.