Individual
DR. ROBERT A KOWTONIUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
900 WASHINGTON RD, WEST POINT, NY 10996-1109
(845) 938-6624
Mailing address
900 WASHINGTON RD, WEST POINT, NY 10996-1109
(845) 938-6624
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0102206434
VA
208D00000X
General Practice Physician
0102206434
VA
208D00000X
General Practice Physician
1073172565
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/10/2019
Last updated
04/02/2024
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