Individual
MISS CAROLINE ISABELLE KOZLOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
111 HOBART ST, EAST ISLIP, NY 11730-3401
(631) 445-0844
Mailing address
111 HOBART ST, EAST ISLIP, NY 11730-3401
(631) 445-0844
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
30307005
NY
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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