Individual
VIRGINIA KOWAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11757 SISSON HWY, NORTH COLLINS, NY 14111-9618
(716) 984-5946
Mailing address
11757 SISSON HWY, NORTH COLLINS, NY 14111-9618
(716) 984-5946
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/05/2010
Last updated
04/05/2010
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