Individual
MR. BLAKE LOREN KOWALSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
284 HIDDEN VALLEY RD, ROCHESTER, NY 14624-2356
(585) 944-4591
Mailing address
284 HIDDEN VALLEY RD, ROCHESTER, NY 14624-2356
(585) 944-4591
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
761952691
NY
Other
Enumeration date
01/15/2020
Last updated
01/15/2020
About Stedi
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