Healthcare Provider Details

I. General information

NPI: 1477038776
Provider Name (Legal Business Name): ERIN B KOWALSKE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/02/2018
Last Update Date: 10/02/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

338 HARRIS HILL RD STE 101
WILLIAMSVILLE NY
14221-7472
US

IV. Provider business mailing address

338 HARRIS HILL RD STE 101
WILLIAMSVILLE NY
14221-7472
US

V. Phone/Fax

Practice location:
  • Phone: 716-626-2222
  • Fax: 716-626-2220
Mailing address:
  • Phone: 716-626-2222
  • Fax: 716-626-2220

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: