Individual
MR. RAYMOND EDWARD KOZIRESKI JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2 GLENMERE COVE RD, GOSHEN, NY 10924-6059
(845) 291-4740
Mailing address
2 GLENMERE COVE RD, GOSHEN, NY 10924-6059
(845) 291-4740
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P117441
NY
Other
Enumeration date
10/04/2022
Last updated
10/04/2022
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