Healthcare Provider Details

I. General information

NPI: 1942791686
Provider Name (Legal Business Name): KAROLINA KOWALSKA OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2018
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1715 E 13TH STREET
BROOKLYN NY
11229-1901
US

IV. Provider business mailing address

55 WATER ST FL 2
NEW YORK NY
10041-0010
US

V. Phone/Fax

Practice location:
  • Phone: 646-680-4227
  • Fax: 718-943-2570
Mailing address:
  • Phone: 646-680-2888
  • Fax: 516-542-5556

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberTUV008773-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: