Individual
DR. JOHN MARK KOWALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2280 WESTERN AVE, GUILDERLAND, NY 12084
(518) 456-5056
(518) 456-6512
Mailing address
2280 WESTERN AVE, GUILDERLAND, NY 12084
(518) 456-5056
(518) 456-6512
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
015576-1
NY
Other
Enumeration date
09/20/2006
Last updated
07/10/2007
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