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Organization

DAVID P KOWALSKI MD FAMILY PRACTICE PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID P KOWALSKI MD (OWNER)
(716) 677-3065
Entity
Organization

Contact information

Practice address
3065 SOUTHWESTERN BLVD, STE 104, ORCHARD PARK, NY 14127-1239
(716) 677-3065
(716) 677-3065
Mailing address
3065 SOUTHWESTERN BLVD, STE 104, ORCHARD PARK, NY 14127-1239
(716) 677-3065
(716) 677-3065

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
204975
NY
363AM0700X
Medical Physician Assistant
008329
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DC5229
RAILROAD MEDICARE
NY
Enumeration date
06/16/2005
Last updated
01/08/2013
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