# GEORGE A KOZMINSKI PHYSICIAN PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558909812
- **Authorized official:** GEORGE A KOZMINSKI MD (OWNER)
- **Authorized official phone:** (315) 507-4751

## Contact information

- **Practice address:** 1 OXFORD XING STE 1, NEW HARTFORD, NY 13413-3200
- **Practice address phone:** (315) 507-4751
- **Practice address fax:** (315) 765-6056
- **Mailing address:** 1 OXFORD XING STE 1, NEW HARTFORD, NY 13413-3200
- **Mailing address phone:** (315) 507-4751
- **Mailing address fax:** (315) 765-6056

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | — | NULL | — |
| 171100000X | Acupuncturist | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | — | — | — |

## Other

- **Enumeration date:** 12/18/2019
- **Last updated:** 12/18/2019