Individual
MICHAEL KOWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
139 REMSEN ST, SUITE 1, COHOES, NY 12047
(518) 237-3642
(518) 237-8159
Mailing address
129 REMSEN ST STE 1, COHOES, NY 12047-2839
(518) 237-3642
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
39181
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000460416001
BLUE SHIELD NEWY
NY
05
—
00895116
—
NY
Enumeration date
01/08/2007
Last updated
05/22/2018
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