Provider Demographics
NPI:1013230978
Name:BOWNE, STEPHEN P (DMD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:P
Last Name:BOWNE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:509 MADISON AVE
Mailing Address - Street 2:SUITE 2100
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-5501
Mailing Address - Country:US
Mailing Address - Phone:212-753-3723
Mailing Address - Fax:
Practice Address - Street 1:509 MADISON AVE
Practice Address - Street 2:SUITE 2100
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-5501
Practice Address - Country:US
Practice Address - Phone:212-753-3723
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-08
Last Update Date:2010-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0363531223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics