Most Relevant Information
Provider Data
| NPI Number: | 1003556432 |
| Provider Name: | ISAAC BOWEN |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 37649 |
Most Important Dates
| Enumeration Date: | 04/01/2022 |
| Last Updated: | 04/01/2022 |
Provider Practice Location
730 KELLY ST
BRONX
NY
104551911
Practice Location Phone/Fax
| Phone: | 7185424127 |
| Fax: |
Provider Mailing Location
730 KELLY ST
BRONX
NY
104551911
Provider Mailing Phone/Fax
| Phone: | 7185424127 |
| Fax: |