Provider Demographics
NPI:1801132246
Name:COWBURN, CAMERON JAMES (PA-C)
Entity type:Individual
Prefix:MR
First Name:CAMERON
Middle Name:JAMES
Last Name:COWBURN
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:571 SAINT JOSEPHS BLVD
Mailing Address - Street 2:FL 2
Mailing Address - City:ELMIRA
Mailing Address - State:NY
Mailing Address - Zip Code:14901-3230
Mailing Address - Country:US
Mailing Address - Phone:607-271-2050
Mailing Address - Fax:
Practice Address - Street 1:100 JOHN ROEMMELT DR
Practice Address - Street 2:3RD FLOOR
Practice Address - City:HORSEHEADS
Practice Address - State:NY
Practice Address - Zip Code:14845-8301
Practice Address - Country:US
Practice Address - Phone:607-793-0352
Practice Address - Fax:607-739-6909
Is Sole Proprietor?:No
Enumeration Date:2012-12-12
Last Update Date:2017-04-04
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Provider Licenses
StateLicense IDTaxonomies
NY020725363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant