Individual
JENNIFER KOWALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1000 MONTAUK HWY, WEST ISLIP, NY 11795-4927
(631) 376-4094
Mailing address
PO BOX 6010, HAUPPAUGE, NY 11788-9010
(631) 840-5347
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F303159
NY
Other
Enumeration date
02/19/2008
Last updated
02/19/2008
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