Provider Demographics
NPI:1790858918
Name:BOWMAN, ELIZABETH A (PHD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:A
Last Name:BOWMAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:286 MADISON AVE
Mailing Address - Street 2:SUITE 1602
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-6345
Mailing Address - Country:US
Mailing Address - Phone:917-991-0492
Mailing Address - Fax:
Practice Address - Street 1:286 MADISON AVE
Practice Address - Street 2:SUITE 1602
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-6345
Practice Address - Country:US
Practice Address - Phone:917-991-0492
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYVN3301Medicare PIN