Kozodoy, Paul

Kozodoy, Paul is an sole proprietor health care provider with primary practice located at 605 Washington Avenue , North Haven CT 06473. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. Kozodoy, Paul can be contacted via phone (203) 530-2053.

Contact Information

Primary practice address
605 Washington Avenue North Haven CT 06473
Phone: (203) 530-2053
Fax: (203) 889-0198
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 000631 Connecticut
Behavioral Health & Social Service Providers / Social Worker 104100000X 000631 Connecticut

Profile Details

NPI number 1629131388
LBN Legal business name Kozodoy, Paul
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 17th, 2006
Last updated May 1st, 2018 - about 6 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 1629131388 NPPES
Connecticut Other 004260949 CT MED. ASST. PROG. ID

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