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Alexa Grace Kowalow, PA

Physician Assistant in Syracuse, NY. Individual provider (NPI-1).

NPI number1295545192
StatusActive
Last updated in NPPESJan 13, 2025

Details

NPI
1295545192
Entity type
Individual (NPI-1)
Name
Alexa Grace Kowalow
Credential
PA
Sex
Female
Sole proprietor
No
Enumeration date
Jan 13, 2025
Certification date
Jan 12, 2025
Last updated
Jan 13, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant––Yes

Practice location

736 Irving Ave
Syracuse, NY 13210-1602

Phone 315-470-7111

Mailing address

7871 Clinton St
Elma, NY 14059-9751

Phone 315-778-3630

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