Individual
MR. JOSEPH D KOZELSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
000071-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MDH310
PREFERRED CARE
NY
01
—
P010000071
EXCELLUS
NY
01
—
P01719919
EXCELLUS
NY
Enumeration date
01/22/2007
Last updated
07/08/2007
Update your record
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