Individual
DR. SUSAN KOZELKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
635 W 165TH ST, 6TH FLOOR, NEW YORK, NY 10032-3724
(212) 342-1600
Mailing address
510 W 52ND ST, APT 19 C, NEW YORK, NY 10019-5283
(708) 834-8256
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Enumeration date
04/21/2015
Last updated
04/21/2015
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