Individual
DR. DONALD WALTER KOWALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3043 STATE ROUTE 4, HUDSON FALLS, NY 12839-9632
(518) 747-2284
(518) 747-2253
Mailing address
3043 STATE ROUTE 4, HUDSON FALLS, NY 12839-9632
(518) 747-2284
(518) 747-2253
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
156437-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000406632004
BLUESHIELD OF NORTHEASTERN NY
—
01
—
080305000106
FIDELIS
—
01
—
11056587
CAQH
—
05
—
156437
—
NY
01
—
53088A
MVP
—
01
—
P00473247
MEDICARE RAILROAD PART B
—
Enumeration date
01/24/2006
Last updated
02/26/2010
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