Individual
DAVID E KWIATKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
42 W MAIN ST, OWEGO, NY 13827-1578
(607) 687-0350
(607) 687-0333
Mailing address
33 LEWIS RD, 2ND FL, BINGHAMTON, NY 13905-5227
(607) 729-8156
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
139078
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00614755
—
NY
Enumeration date
09/14/2005
Last updated
03/01/2016
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