Provider Demographics
NPI:1245395813
Name:OWENS, HOWARD (MD)
Entity Type:Individual
Prefix:
First Name:HOWARD
Middle Name:
Last Name:OWENS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 W 89TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-2047
Mailing Address - Country:US
Mailing Address - Phone:212-799-0495
Mailing Address - Fax:212-374-3050
Practice Address - Street 1:100 CENTRE ST
Practice Address - Street 2:500
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-4308
Practice Address - Country:US
Practice Address - Phone:212-374-2290
Practice Address - Fax:212-374-3050
Is Sole Proprietor?:No
Enumeration Date:2006-12-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1131962084F0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084F0202XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyForensic Psychiatry