Provider Demographics
NPI:1346858222
Name:SOWELL HEALTH PC
Entity Type:Organization
Organization Name:SOWELL HEALTH PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEXANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:SOWA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:443-386-3808
Mailing Address - Street 1:308 E 38TH ST STE 200
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-9825
Mailing Address - Country:US
Mailing Address - Phone:443-386-3808
Mailing Address - Fax:
Practice Address - Street 1:308 E 38TH ST STE 200
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-9825
Practice Address - Country:US
Practice Address - Phone:443-386-3808
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-16
Last Update Date:2020-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty