Individual
MRS. COURTNEY A KOVACIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8643 SHERIDAN DR, WILLIAMSVILLE, NY 14221-6315
(716) 565-9030
Mailing address
8205 MAIN ST STE 14, WILLIAMSVILLE, NY 14221-6054
(716) 539-0789
(716) 250-9090
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
022997
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05492168
—
NY
Enumeration date
11/13/2018
Last updated
04/20/2021
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