Individual
CAITLIN KOZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 CUMMINGS RD, LAKE PLACID, NY 12946-1508
(518) 523-2474
Mailing address
2491 MAIN ST, LAKE PLACID, NY 12946-3876
(518) 536-1287
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
030391
NY
Other
Enumeration date
09/24/2019
Last updated
01/05/2021
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