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Individual
GARY KOZICK
Active
Individual
GARY KOZICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.W.
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R039653-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000403575001
BLUE SHIELD OF NORTHEAST
NY
01
—
10072214
CDPHP PROVIDER NUMBER
NY
01
—
362383
MVP PROVIDER NUMBER
NY
01
—
476643
VALUEOPTIONS PROVIDER NUM
NY
01
—
7333576
NEW YORK EMPIRE PLAN GHI
NY
01
—
N226S1
EMPIRE BC/BS MAGELLAN
NY
Enumeration date
06/02/2006
Last updated
07/13/2026
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