Individual
ANDREE KOZACZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
45 READE PL, POUGHKEEPSIE, NY 12601-3947
(845) 431-5629
Mailing address
66 POWERHOUSE RD, 3RD FLOOR, ROSLYN HEIGHTS, NY 11577-1324
(516) 945-3000
(516) 945-3131
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
455338
NY
Other
Enumeration date
12/20/2005
Last updated
07/08/2007
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