Kozar, Diane Marie
Kozar, Diane Marie is an sole proprietor health care provider with primary practice located at 116 Nettlecreek Rd , Fairport NY 14450-3056. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Kozar, Diane Marie can be contacted via phone (585) 223-7024.Contact Information
Primary practice address
116 Nettlecreek Rd
Fairport NY 14450-3056
Phone: (585) 223-7024
Fax: (585) 223-9579
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 012670-1 | New York |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 15211 | California |
Profile Details
| NPI number | 1710199104 |
|---|---|
| LBN Legal business name | Kozar, Diane Marie |
| Credentials | Registered Physical Therapist (RPT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 6th, 2007 |
| Last updated | Jul 9th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710199104 | NPPES |
| New York | MEDICAID | 02809007 |
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