Individual
THOMAS M KOWALAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3669 SOUTHWESTERN BLVD, ORCHARD PARK, NY 14127-1732
(716) 688-2154
(716) 204-4501
Mailing address
2530 E RIVER RD, GRAND ISLAND, NY 14072-2193
(716) 775-9247
(716) 775-9247
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
180089
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01222559
—
NY
Enumeration date
05/22/2006
Last updated
09/27/2012
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