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NPI Code Detail

MEDICARE: DR. REBECCA KOWALSKI M.D.

MEDICARE:  DR. REBECCA  KOWALSKI  M.D.
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
1208600000XSurgery Physician254130MA
2208600000XSurgery Physician276955NY

General Provider Information

NPI Number : 1972768869
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. REBECCA KOWALSKI M.D.
Provider Business Mailing Address
First Line : 186 E 76TH ST FL 1
Second Line :
City : NEW YORK
State : NY
Zip : 10021-2822
Country : US
Telephone Number : 212-434-3285
Fax Number : 212-434-3250
Provider Business Practice Location Address
First Line : 186 E 76TH ST FL 1
Second Line :
City : NEW YORK
State : NY
Zip : 10021-2822
Country : US
Telephone Number : 212-434-3285
Fax Number : 212-434-3250
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2008
Last Update Date : 12/09/2019

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Directions to “ DR. REBECCA KOWALSKI M.D.” Practice Location

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