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NPI Code Detail

MEDICARE: VIRGINIA KOWAL

MEDICARE: VIRGINIA KOWAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1417272295
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIRGINIA KOWAL
Provider Business Mailing Address
First Line : 11757 SISSON HWY
Second Line :
City : NORTH COLLINS
State : NY
Zip : 14111-9618
Country : US
Telephone Number : 716-984-5946
Fax Number :
Provider Business Practice Location Address
First Line : 11757 SISSON HWY
Second Line :
City : NORTH COLLINS
State : NY
Zip : 14111-9618
Country : US
Telephone Number : 716-984-5946
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2010
Last Update Date : 04/05/2010

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Directions to “ VIRGINIA KOWAL ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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