Individual
SAMANTHA KOVALSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25 BLACK CHERRY LN, TROY, NY 12180-9525
(518) 949-3841
Mailing address
25 BLACK CHERRY LN, TROY, NY 12180-9525
(518) 949-3841
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
716517
NY
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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