Individual
DR. ALAN J KOZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 ATWELL RD, COOPERSTOWN, NY 13326-1301
(607) 547-3390
(607) 547-6906
Mailing address
PO BOX 725, COOPERSTOWN, NY 13326-0725
(607) 547-3390
(607) 547-6906
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
121250
NY
207RI0200X
Infectious Disease Physician
Primary
121250
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01163235
—
NY
Enumeration date
04/26/2006
Last updated
10/31/2008
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