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Individual

MRS. TARA KOWALIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BSN, RN, RNFA

Contact information

Practice address
2451 BASELINE RD, GRAND ISLAND, NY 14072-1657
(716) 773-8870
(716) 773-8985
Mailing address
2451 BASELINE RD, GRAND ISLAND, NY 14072-1657
(716) 773-8870
(716) 773-8985

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
526844-1
NY

Other

Enumeration date
04/30/2019
Last updated
04/30/2019
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