Provider Demographics
NPI:1154557528
Name:BOWMAN, TAMMY J (DPM)
Entity type:Individual
Prefix:DR
First Name:TAMMY
Middle Name:J
Last Name:BOWMAN
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:DR
Other - First Name:TAMMY
Other - Middle Name:J
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPM
Mailing Address - Street 1:97 BURRSTONE RD
Mailing Address - Street 2:
Mailing Address - City:NEW YORK MILLS
Mailing Address - State:NY
Mailing Address - Zip Code:13417-1509
Mailing Address - Country:US
Mailing Address - Phone:315-735-6851
Mailing Address - Fax:
Practice Address - Street 1:97 BURRSTONE RD
Practice Address - Street 2:
Practice Address - City:NEW YORK MILLS
Practice Address - State:NY
Practice Address - Zip Code:13417-1509
Practice Address - Country:US
Practice Address - Phone:315-735-6851
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-29
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN005689-1213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist