Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 256794 | NY |
N | 208000000X | Pediatrician | UO1619 | FL |
Y | 2080P0208X | Pediatric Infectious Diseases | 256794 | NY |
NPI | 1285957464 |
---|---|
Provider Name | Ms. Shanna Kowalsky |
First Address | New York, NY 10029 |
Second Address | New York, NY 10029 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/03/2010 |
Last Update Date | 12/09/2013 |