National Provider Identifier

Amy Katherine Bowen

Amy Katherine Bowen is listed in the NPPES registry with a primary specialty of Specialist in Lackawanna, NY and a listed phone number of (716) 982-8612.

NPI 1316200264Lackawanna, NYSpecialist

Profile Overview

NPI
1316200264
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
June 15, 2012
Last Updated
June 15, 2012

Practice Location

  • 697 Ridge RD
  • Lackawanna, NY 14218-1500

Phone: (716) 982-8612

Specialties

  • Specialist (174400000X)
Full Record
NPI
1316200264
Entity Type
Individual
Last Name
Bowen
First Name
Amy
Middle Name
Katherine
Mailing Street Address
697 Ridge RD
Mailing City
Lackawanna
Mailing State
NY
Mailing ZIP Code
14218-1500
Mailing Country
US
Mailing Phone
(716) 982-8612
Practice Street Address
697 Ridge RD
Practice City
Lackawanna
Practice State
NY
Practice ZIP Code
14218-1500
Practice Country
US
Practice Phone
(716) 982-8612
Enumeration Date
June 15, 2012
Last Updated
June 15, 2012
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)