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MCGOWAN, HEATHER ANDREA       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: VILLAGE PEDIATRIC GROUP
115 MAIN STREET
TUCKAHOE NY 10707

Address last updated on 9/5/2022
Phone #: (914) 771-7070
Fax #:
County: NOT OKLAHOMA
License: 37242
Dated: 11/1/2020
Expires: 11/1/2023
License Type: Medical Doctor
Specialty: Pediatrics
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Rutgers Robt W Johnson Med Sch, (fmly UMDNJ)
Graduated: 5 / 1997
CME Year: 2023
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF PEDIATRICS
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
VILLAGE PEDIATRIC GROUP
115 MAIN STREET
TUCKAHOE NY 10707

Phone #: (914) 771-7070
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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