Mark Edwin Kovaleski in Apalachin - Clinical
Mark Edwin Kovaleski - NPI 1033205497
Mark Edwin Kovaleski is a Clinical in Apalachin, New York. Mark Edwin Kovaleski practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mark Edwin Kovaleski is 1033205497. The last update date is 2007-07-08.
Mark Edwin Kovaleski's current location address is 3 Tioga Blvd, Apalachin, New York. You can contact this provider via phone number 6077854156 and fax number 6076254438. The mailing address for Mark Edwin Kovaleski is 3 Tioga Blvd, Apalachin, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Edwin Kovaleski |
|---|---|
| Address | 3 Tioga Blvd, Apalachin, New York |
| Phone Number | 6077854156 |
| Fax Number | 6076254438 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1033205497 |
|---|---|
| Provider Enumeration Date | 2006-10-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3 Tioga Blvd |
|---|---|
| City | Apalachin |
| State | New York (NY) |
| Post Code | 137324150 |
| Phone Number | 6077854156 |
| Fax Number | 6076254438 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 9697 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique identifier code issued to Mark Edwin Kovaleski by the Centers for Medicare & Medicaid Services?
The Mark Edwin Kovaleski has been assigned the NPI (National Provider Identifier) 1033205497. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Mark Edwin Kovaleski's facilities are situated?
The facilities of Mark Edwin Kovaleski are physically located at the following address: 3 Tioga Blvd, Apalachin, NY, 137324150.
What is Mark Edwin Kovaleski's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mark Edwin Kovaleski is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1033205497 to Mark Edwin Kovaleski?
The Mark Edwin Kovaleski received its 1033205497 assignment from the Centers for Medicare & Medicaid Services on 2006-10-05.
When was the information related to Mark Edwin Kovaleski most recently updated or refreshed?
The details pertaining to the Mark Edwin Kovaleski, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.