Provider Demographics
NPI:1417323007
Name:KOVALSKY, ANN (RN,BC)
Entity Type:Individual
Prefix:MRS
First Name:ANN
Middle Name:
Last Name:KOVALSKY
Suffix:
Gender:F
Credentials:RN,BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 421
Mailing Address - Street 2:
Mailing Address - City:SALISBURY CENTER
Mailing Address - State:NY
Mailing Address - Zip Code:13454-0421
Mailing Address - Country:US
Mailing Address - Phone:845-629-1490
Mailing Address - Fax:
Practice Address - Street 1:1693 MILITARY ROAD
Practice Address - Street 2:
Practice Address - City:SALISBURY CENTER
Practice Address - State:NY
Practice Address - Zip Code:13454-0421
Practice Address - Country:US
Practice Address - Phone:845-629-1490
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-18
Last Update Date:2015-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY459660-1163WP0808X, 163WP0809X, 163W00000X, 163WA0400X, 163WC0400X, 163WC1500X, 163WH0200X, 163WW0000X, 163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
No163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
No163W00000XNursing Service ProvidersRegistered Nurse
No163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)
No163WC0400XNursing Service ProvidersRegistered NurseCase Management
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No163WW0000XNursing Service ProvidersRegistered NurseWound Care
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice