Individual
MRS. ANGELA ANN KOZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13077 VAN SLYKE RD, EAST CONCORD, NY 14055-9741
(716) 592-2909
Mailing address
13077 VAN SLYKE RD, EAST CONCORD, NY 14055-9741
(716) 592-2909
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
260414-1
NY
Other
Enumeration date
05/12/2008
Last updated
05/12/2008
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