Individual
REGINA KOZIYEVSKAYA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1419 BEACON ST, SUITE 35, BROOKLINE, MA 02446-4808
(617) 232-2062
Mailing address
6 FERNEROFT RD, NEWTON, MA 02468
(617) 232-2062
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
216919
MA
Other
Enumeration date
05/31/2006
Last updated
07/08/2007
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