Individual
DR. MARK EDWIN KOVALESKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3 TIOGA BLVD, SUITE 5, APALACHIN, NY 13732-4150
(607) 785-4156
(607) 625-4438
Mailing address
3 TIOGA BLVD, SUITE 5, APALACHIN, NY 13732-4150
(607) 785-4156
(607) 625-4438
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
009697
NY
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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