| Organization Name: | RALPH EDWARD BOWMAN, PHYSICIAN PC |
| NPI Number: | 1639449002 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JULIE CHUCKRAN (OFFICE MANAGER) |
| Mailing Address: | 170 E Main St Port Jervis |
| State: | NY US |
| Postal Code: | 127712220 |
| Phone Number: | 8458563323 |
| Fax Number: | 8458566107 |
| NPI Enumeration Date: | 01/03/2012 |
| NPI Last Update Date: | 01/03/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 167733 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |