Individual
MARINA COZORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1276 FULTON AVE, ADULT OUTPATIENT CLINIC, 8TH FLOOR, BRONX, NY 10456-3402
(718) 901-6492
(718) 901-6490
Mailing address
1276 FULTON AVE, ADULT OUTPATIENT CLINIC, 8TH FLOOR, BRONX, NY 10456-3402
(718) 901-6492
(718) 901-6490
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
247520
NY
2084P0800X
Psychiatry Physician
25MA08356600
NJ
Other
Enumeration date
07/03/2007
Last updated
02/26/2013
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