Organization
5B105STRDENTALPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOANNA KOWALEWSKI DDS (DENTIST)
(718) 474-0007
Entity
Organization
Contact information
Practice address
5 BEACH 105TH ST, ROCKAWAY PARK, NY 11694-2699
(718) 474-0007
(718) 474-0004
Mailing address
5 BEACH 105TH ST, ROCKAWAY PARK, NY 11694-2699
(718) 474-0007
(718) 474-0004
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
046206-1
NY
Other
Enumeration date
05/15/2007
Last updated
08/22/2020
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