Individual
DR. DAVID P KOWALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3065 SOUTHWESTERN BLVD, STE 104, ORCHARD PARK, NY 14127-1239
(716) 677-3065
(716) 712-0497
Mailing address
3065 SOUTHWESTERN BLVD, STE 104, ORCHARD PARK, NY 14127-1239
(716) 677-3065
(716) 712-0497
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
204975
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00174998
RAILROAD MEDICARE
NY
Enumeration date
06/21/2005
Last updated
11/02/2007
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