Kozicz, Izabela

Kozicz, Izabela is an individual health care provider with primary practice located at 111 Clocktower Commons , Brewster NY 10509. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Kozicz, Izabela can be contacted via phone (845) 279-5187.

Contact Information

Primary practice address
111 Clocktower Commons Brewster NY 10509
Fax: (845) 279-5168
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 220008 New York

Profile Details

NPI number 1760469118
LBN Legal business name Kozicz, Izabela
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2005
Last updated Jun 12th, 2009 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760469118 NPPES
New York MEDICAID 02130734

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