Provider Demographics
NPI:1700858958
Name:COWGILL, MOLLY (MD)
Entity Type:Individual
Prefix:DR
First Name:MOLLY
Middle Name:
Last Name:COWGILL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:652 STATE ROUTE 299
Mailing Address - Street 2:SUITE 201
Mailing Address - City:HIGHLAND
Mailing Address - State:NY
Mailing Address - Zip Code:12528-2933
Mailing Address - Country:US
Mailing Address - Phone:845-883-6883
Mailing Address - Fax:
Practice Address - Street 1:652 ROUTE 299
Practice Address - Street 2:STE 102
Practice Address - City:HIGHLAND
Practice Address - State:NY
Practice Address - Zip Code:12528
Practice Address - Country:US
Practice Address - Phone:845-883-6883
Practice Address - Fax:845-883-6254
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2014-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY195533207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
F80684Medicare UPIN
12J411Medicare ID - Type Unspecified