| Mxbowen, Physician P.c. | |
|
209 W 19th St New York NY 10011-4001 | |
| (212) 480-4062 | |
| (646) 582-1434 |
| Full Name | Mxbowen, Physician P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 209 W 19th St, New York, New York |
| Authorized Official Name and Position | Marc Bowen (PRESIDENT/CEO) |
| Authorized Official Contact | 2124807010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mxbowen, Physician P.c. 209 W 19th St New York NY 10011-4001 Ph: (212) 480-4062 | Mxbowen, Physician P.c. 209 W 19th St New York NY 10011-4001 Ph: (212) 480-4062 |
| NPI Number | 1467895516 |
|---|---|
| Provider Enumeration Date | 04/08/2013 |
| Last Update Date | 01/19/2024 |
| Medicare PECOS PAC ID | 4486895943 |
|---|---|
| Medicare Enrollment ID | O20130725000317 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467895516 | NPI | - | NPPES |
| 01537282 | Medicaid | NY |
| Provider Name | Marc X Bowen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205815032 PECOS PAC ID: 0143353698 Enrollment ID: I20100804000273 |
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