Individual
CAROLANN V KOZLOWSKI
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
19472 US ROUTE 11, WATERTOWN, NY 13601-5387
(315) 782-6126
(315) 782-3816
Mailing address
216 COUNTY ROUTE 64, MEXICO, NY 13114-3229
(315) 963-5421
(315) 963-7693
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0053851
NY
Other
Enumeration date
03/09/2006
Last updated
07/08/2007
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