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Individual

MARIA KOVALEVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5300 MILITARY RD, LEWISTON, NY 14092-1903
(716) 298-2009
Mailing address
5300 MILITARY RD, LEWISTON, NY 14092-1903
(716) 298-2009

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
280779
NY

Other

Enumeration date
09/15/2015
Last updated
09/15/2015
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