Provider Demographics
NPI:1316086127
Name:BOWIE, SABRINA MICHELLE (FNP)
Entity type:Individual
Prefix:
First Name:SABRINA
Middle Name:MICHELLE
Last Name:BOWIE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5010 STATE HIGHWAY 30
Mailing Address - Street 2:STE 204
Mailing Address - City:AMSTERDAM
Mailing Address - State:NY
Mailing Address - Zip Code:12010-7532
Mailing Address - Country:US
Mailing Address - Phone:518-842-8185
Mailing Address - Fax:518-842-8189
Practice Address - Street 1:5010 STATE HIGHWAY 30
Practice Address - Street 2:STE 204
Practice Address - City:AMSTERDAM
Practice Address - State:NY
Practice Address - Zip Code:12010-7532
Practice Address - Country:US
Practice Address - Phone:518-842-8185
Practice Address - Fax:518-842-8189
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2019-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF332285-1207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
S63385Medicare UPIN