Individual
KEVIN R. NOWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
515 ABBOTT ROAD, BUFFALO, NY 14220-1114
(716) 826-6628
(716) 828-3448
Mailing address
515 ABBOTT ROAD, SUITE 410, BUFFALO, NY 14220-1114
(716) 826-6628
(716) 828-3448
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
283924-1
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/17/2012
Last updated
05/10/2016
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