Doctor Name: | THOMAS C DOWLING |
NPI Number: | 1093804684 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | F4010141 |
Business Practice Address: | 79 Glenridge Rd Glenville, NY - 123024523 |
Business Phone Number: | 5189528142 |
Business Fax Number: | 5189528109 |
Mailing Address: | Po Box 31094, HARTFORD |
State: | CT |
Postal Code: | 061501094 |
Phone Number: | 5189528142 |
Fax Number: | 5189528109 |
NPI Enumeration Date: | 10/12/2006 |
NPI Last Update Date: | 09/03/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | F4010141 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |