Individual
ALEXA GRACE KOWALOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
736 IRVING AVE, SYRACUSE, NY 13210-1602
(315) 470-7111
Mailing address
7871 CLINTON ST, ELMA, NY 14059-9751
(315) 778-3630
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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