Individual
KIMBERLY KOWALCZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
28 HAWKINS PATH, CORAM, NY 11727
(631) 379-0404
Mailing address
28 HAWKINS PATH, CORAM, NY 11727-1836
(631) 379-0404
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1044558161
NY
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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