Individual
MISS ANNA M KOWALCZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
24 BARTLETT PL, HUNTINGTON, NY 11743-3702
(516) 413-1009
Mailing address
PO BOX 129, WESTBURY, NY 11590-0018
(516) 413-1009
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
013220
NY
363AM0700X
Medical Physician Assistant
013220
NY
Other
Enumeration date
03/02/2009
Last updated
03/25/2015
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