Individual
CHAIM KOZLOVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
425 W 59TH ST, 10TH FLOOR, NEW YORK, NY 10019-8022
(212) 523-7791
Mailing address
425 W 59TH ST, 10TH FLOOR, NEW YORK, NY 10019-8022
(212) 523-7791
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
014202-1
NY
Other
Enumeration date
01/30/2011
Last updated
07/13/2012
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