National Provider Identifier
Courtney A Kovacic, PA
Courtney A Kovacic, PA is listed in the NPPES registry with a primary specialty of Pediatrics Physician in Williamsville, NY and a listed phone number of (716) 565-9030.
Profile Overview
- NPI
- 1922577568
- Provider Type
- Individual
- Primary Specialty
- Pediatrics Physician
- Enumeration Date
- November 13, 2018
- Last Updated
- April 20, 2021
Practice Location
- 8643 Sheridan Dr
- Williamsville, NY 14221-6315
Phone: (716) 565-9030
Mailing Address
- 8205 Main St Ste 14
- Williamsville, NY 14221-6054
Specialties
- Pediatrics Physician (208000000X)
Full Record
- NPI
- 1922577568
- Entity Type
- Individual
- Last Name
- Kovacic
- First Name
- Courtney
- Middle Name
- A
- Name Prefix
- Mrs.
- Credential
- PA
- Provider Other Last Name
- Stefanik
- Provider Other First Name
- Courtney
- Provider Other Name Prefix Text
- MS.
- Provider Other Credential Text
- PA
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 8205 Main St Ste 14
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-6054
- Mailing Country
- US
- Mailing Phone
- (716) 539-0789
- Mailing Fax
- (716) 250-9090
- Practice Street Address
- 8643 Sheridan Dr
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-6315
- Practice Country
- US
- Practice Phone
- (716) 565-9030
- Enumeration Date
- November 13, 2018
- Last Updated
- April 20, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- April 20, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatrics Physician (208000000X)
- Other Identifiers
- 05492168 (NY)