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Individual

MICHAEL KOZOWER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
60 MAPLE RD, STE 1, WILLIAMSVILLE, NY 14221-2917
(716) 626-5250
(716) 332-2218
Mailing address
60 MAPLE RD, STE 1, WILLIAMSVILLE, NY 14221-2917
(716) 626-5250
(716) 332-2218

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
103470
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00010094701
UNIVERA
NY
01
000506316001
BLUE CROSS OG WNY
NY
05
00614122
NY
01
040426000384
FIDELIS
NY
01
100012917
RAILROAD MEDICARE
NY
01
153008BT
PREFERRED CARE
NY
01
2300577
INDEPENDENT HEALTH
NY
01
2400515
GHI
NY
01
4273559
AETNA
NY
Enumeration date
12/20/2005
Last updated
12/09/2013
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