Individual
DR. CYRIL KOZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 COOLEY HTS, DELANSON, NY 12053-2442
(518) 895-2000
(518) 895-2624
Mailing address
PO BOX 725, COOPERSTOWN, NY 13326-0725
(518) 895-2000
(518) 895-2624
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
184223
NY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
184223
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01345197
—
NY
Enumeration date
05/16/2006
Last updated
02/08/2008
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