MR. BLAKE LOREN KOWALSKI (NPI# 1659901890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659901890 |
| Entity Type | Individual |
| Full Name | MR. BLAKE LOREN KOWALSKI |
| Practice Address |
284 Hidden Valley Rd Rochester NY 14624-2356 |
| Practice Telephone | 5859444591 |
| Mailing Telephone | 5859444591 |
| Enumeration Date | 2020-01-15 |
| Last Update Date | 2020-01-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172A00000X | Driver | 761952691 | NY | Other Service Providers |
| Street Address |
284 HIDDEN VALLEY RD |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14624-2356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871131797 | Tim's Trim Inc. | Contractor | 25 Bermar Park, Rochester, NY 14624 | 2019-12-11 |
| 1659830537 | Onita Princene Thomas | Non-emergency Medical Transport (VAN) | 38 Mulcahy Blvd, Rochester, NY 14624 | 2019-03-19 |
| 1770091852 | Brittany Richards | Case Manager/Care Coordinator | 1860 Buffalo Road, Rochester, NY 14624 | 2018-01-11 |
| 1912431123 | Ashley Marie Mooney | Dentist | 2300 Buffalo Rd Bldg 400, Rochester, NY 14624 | 2017-04-13 |
| 1396195079 | State of New York Comptrollers Office | Clinic/Center | 40 Bermar St, Rochester, NY 14624 | 2016-06-14 |
| 1134520729 | Karleigh J Sharp | Physician Assistant | 1160 Chili Ave., Suite 200, Rochester, NY 14624 | 2014-09-15 |
| 1174945398 | Lorraine Clarissa Bryan | Licensed Practical Nurse | 2 Hinkley Lane, Gates, NY 14624 | 2014-01-07 |
| 1053749614 | Amy Desantis | Physician Assistant | 9 Merrydale Drive, Rochester, NY 14624 | 2013-10-17 |
| 1700212388 | Monique Shiree Lawrence | Licensed Practical Nurse | 103 Norway Spruce Drive, Rochester, NY 14624 | 2013-09-16 |
| 1497019921 | Emily Lengen | Specialist | 6 Alderbrook Trail, Rochester, NY 14624 | 2012-06-29 |
| Find all providers in zip 14624 | ||||
| Taxonomy Code | 172A00000X |
| Grouping | Other Service Providers |
| Classification | Driver |
| A person employed to operate a motor vehicle as a carrier of persons or property. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659916104 | Marian Raby | Driver | 257 Haviland Park, Rochester, NY 14616-4238 | 2019-11-07 |
| 1174093355 | Chauncey Lamont Phelps | Driver | 2509 Browncroft Blvd, Rochester, NY 14625-1522 | 2018-11-29 |
| 1891260618 | Mark M Brown | Driver | 184 Barberry Ter, Rochester, NY 14621-4104 | 2018-10-08 |
| 1487142139 | Shanta F Barton | Driver | 74 Clairmount St, Rochester, NY 14621-4204 | 2018-04-27 |
| 1245732221 | Daphne Bell | Driver | 79 Curlew St., Rochester, NY 14606 | 2018-03-06 |
| 1952817496 | Irene Breedlove | Driver | 544 Hollenbeck St, Rochester, NY 14621-2238 | 2017-12-20 |
| 1407370778 | Jermaine Mcgowan | Driver | 107 Atkinson St, Rochester, NY 14608-2202 | 2017-07-28 |
| 1184147142 | Michael Todd Tyson X | Driver | 696 Woodbine Ave, Rochester, NY 14619-2030 | 2017-07-21 |
| 1790206720 | Albert Tomlin Jr. | Driver | 121 Aberdeen St, Rochester, NY 14619 | 2017-06-29 |
| 1548780638 | Rhonda Harris | Driver | 221 Melville St, Rochester, NY 14609-5226 | 2017-06-21 |
| Find all providers in ROCHESTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.