Michelle Linford Bowen, ATC
Individual provider Active NPI Athletic Trainer · Cohoes, NY
NPI 1922564178 · NPPES record last updated Feb 13, 2019
Key facts
- NPI
- 1922564178
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 002904-1 (NY)
- Practice address
- 1019 New Loudon Rd
Cohoes, NY 12047-5003 - Phone
- (518) 262-7500
- NPI assigned
- Feb 13, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002904-1 | NY | MD | Early Intervention Provider Agency |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 002904-1 | NY | Yes |
Addresses
Primary practice location
1019 New Loudon Rd
Cohoes, NY 12047-5003
Mailing address
1019 New Loudon Rd
Cohoes, NY 12047-5003
Phone (518) 262-7500
Other providers in Cohoes, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.