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Individual

BARBARA ANN KOWULICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
4 NICOLE CAPRI WAY, W HENRIETTA, NY 14586-9584
(585) 334-9062
Mailing address
4 NICOLE CAPRI WAY, W HENRIETTA, NY 14586-9584
(585) 334-9062

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
000902
NY

Other

Enumeration date
01/27/2011
Last updated
01/27/2011
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