Bowrey, Ian Gordon
Bowrey, Ian Gordon is an sole proprietor health care provider with primary practice located at 22412 Merrick Blvd , Laurelton NY 11413-2023. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Bowrey, Ian Gordon can be contacted via phone (718) 276-7106.Contact Information
Primary practice address
22412 Merrick Blvd
Laurelton NY 11413-2023
Phone: (718) 276-7106
Fax: (718) 276-7107
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 32839 | New York |
Profile Details
| NPI number | 1861724015 |
|---|---|
| LBN Legal business name | Bowrey, Ian Gordon |
| Credentials | PH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 12th, 2010 |
| Last updated | Feb 12th, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861724015 | NPPES |
| New York | Other | 01422288 | 3330660 |
| New York | MEDICAID | 01422288 | 3330660 |
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