Individual
MRS. BETHANY MICHELLE KOWALEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
(315) 464-4720
Mailing address
163 INTREPID LN STE 100, SYRACUSE, NY 13205-2548
(316) 469-1130
Taxonomy
Speciality
Code
Description
License number
State
163WN0003X
Low-Risk Neonatal Registered Nurse
711317
NY
163WP0200X
Pediatric Registered Nurse
711317
NY
367500000X
Certified Registered Nurse Anesthetist
141269
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
711317
NY
Other
Enumeration date
11/02/2018
Last updated
03/29/2024
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