Individual
DAVID KOWALCZIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1 WHITTER WAY, GHENT, NY 12075-3213
(518) 828-0800
Mailing address
27 ELM ST, WHITESBORO, NY 13492-1203
(315) 723-1051
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
002302-1
NY
Other
Enumeration date
06/02/2017
Last updated
06/02/2017
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