Individual
MS. CAROL ANNE KOZIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4446 S ONONDAGA RD, NEDROW, NY 13120-9766
(315) 200-6689
Mailing address
124 RUGBY RD, SYRACUSE, NY 13206-3225
(315) 437-1693
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
331510
NY
Other
Enumeration date
01/17/2014
Last updated
02/08/2016
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