Individual
MS. MARY K KOWALCHUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
155 FINNEY BLVD., MALONE, NY 12953-1067
(518) 483-0109
(518) 483-0201
Mailing address
4 COMMERCE LANE, CANTON, NY 13617-3739
(315) 386-8191
(315) 386-1410
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
009127
NY
363AM0700X
Medical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01995615
—
NY
Enumeration date
11/02/2005
Last updated
03/16/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us