National Provider Identifier
Blake Loren Kowalski
Blake Loren Kowalski is listed in the NPPES registry with a primary specialty of Driver in Rochester, NY and a listed phone number of (585) 944-4591.
Profile Overview
- NPI
- 1659901890
- Provider Type
- Individual
- Primary Specialty
- Driver
- Enumeration Date
- January 15, 2020
- Last Updated
- January 15, 2020
Practice Location
- 284 Hidden Valley RD
- Rochester, NY 14624-2356
Phone: (585) 944-4591
Specialties
- Driver (172A00000X)
Full Record
- NPI
- 1659901890
- Entity Type
- Individual
- Last Name
- Kowalski
- First Name
- Blake
- Middle Name
- Loren
- Name Prefix
- Mr.
- Mailing Street Address
- 284 Hidden Valley RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14624-2356
- Mailing Country
- US
- Mailing Phone
- (585) 944-4591
- Practice Street Address
- 284 Hidden Valley RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14624-2356
- Practice Country
- US
- Practice Phone
- (585) 944-4591
- Enumeration Date
- January 15, 2020
- Last Updated
- January 15, 2020
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- January 15, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Driver (172A00000X)