Organization
GEORGE A KOZMINSKI PHYSICIAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE A KOZMINSKI MD (OWNER)
(315) 507-4751
Entity
Organization
Contact information
Practice address
1 OXFORD XING STE 1, NEW HARTFORD, NY 13413-3200
(315) 507-4751
(315) 765-6056
Mailing address
1 OXFORD XING STE 1, NEW HARTFORD, NY 13413-3200
(315) 507-4751
(315) 765-6056
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
12/18/2019
Last updated
12/18/2019
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