Individual ProviderNicolas Gordon Riedel BowersStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice AddressColumbia University Medical Center, 161 Fort Washington Avenue, 6th Floor, New York, NY 10032(212) 305-2708PECOS EnrollmentBased on the most recent information from CMS, provider Nicolas Gordon Riedel Bowers does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1689306128Provider TypeIndividualFull NameBowers, Nicolas Gordon RiedelTitleMr.CredentialMDGenderMaleSole ProprietorNoEnumeration Date6/24/2022Last Updated2/3/2023Contact InformationPractice LocationPractice AddressColumbia University Medical Center, 161 Fort Washington Avenue, 6th Floor, New York, NY 10032Phone(212) 305-2708Fax(212) 342-3660Mailing LocationMailing AddressColumbia University Medical Center, 161 Fort Washington Avenue, 6th Floor, New York, NY 10032Phone(212) 305-2708Fax(212) 342-3660Provider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted IssuerNew York