Provider Demographics
NPI:1922306844
Name:BOWE, JAMES CHRISTOPHER JR
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:CHRISTOPHER
Last Name:BOWE
Suffix:JR
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:JAMES
Other - Middle Name:CHRISTOPHER
Other - Last Name:BOWE
Other - Suffix:JR
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:824 STRATFORD DR
Mailing Address - Street 2:
Mailing Address - City:EAST MEADOW
Mailing Address - State:NY
Mailing Address - Zip Code:11554-4720
Mailing Address - Country:US
Mailing Address - Phone:516-538-2153
Mailing Address - Fax:
Practice Address - Street 1:824 STRATFORD DR
Practice Address - Street 2:
Practice Address - City:EAST MEADOW
Practice Address - State:NY
Practice Address - Zip Code:11554
Practice Address - Country:US
Practice Address - Phone:516-538-2153
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-01
Last Update Date:2011-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY547299163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse