MARK E KOVALESKI

Dr MARK E KOVALESKI is a male medical professional, specializing in Psychologist, Clinical. He graduated in 1987 from Birmingham Medical College.

Contact

3 TIOGA BLVD
SUITE 5
APALACHIN
NY
137324141

Tel: 6077854156

MARK E KOVALESKI Information

Npi 1033205497
Pac Id 0345435376
Professional Enrollment Id I20101116000377
Last Name KOVALESKI
First Name MARK
Middle Name E
Suffix
Gender M
Credential
Medical School Name BIRMINGHAM MEDICAL COLLEGE
Graduation Year 1987
Primary Specialty PSYCHOLOGIST, CLINICAL
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 3 TIOGA BLVD
Line 2 Street Address SUITE 5
Marker Of Address Line 2 Suppression
City APALACHIN
State NY
Zip Code 137324141
Phone Number 6077854156
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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