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NPI Code Detail

MEDICARE: PETER F KOWALSKI MD

MEDICARE: PETER F KOWALSKI MD
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
1207Q00000XFamily Medicine Physician171307NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003809393
Entity Type Code : Individual
Provider Name (Legal Business Name) : PETER F KOWALSKI MD
Provider Business Mailing Address
First Line : 850 HOPKINS RD
Second Line :
City : WILLIAMSVILLE
State : NY
Zip : 14221-1729
Country : US
Telephone Number : 716-688-9641
Fax Number : 716-829-2447
Provider Business Practice Location Address
First Line : 850 HOPKINS RD
Second Line :
City : WILLIAMSVILLE
State : NY
Zip : 14221-1729
Country : US
Telephone Number : 716-688-9641
Fax Number : 716-829-2447
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2005
Last Update Date : 06/05/2012

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