Individual
MEGAN KOZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
7201 4TH AVE APT D9, BROOKLYN, NY 11209-2512
(646) 467-2771
Mailing address
7201 4TH AVE APT D9, BROOKLYN, NY 11209-2512
(646) 467-2771
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
007763-1
NY
172M00000X
Mechanotherapist
026100-1
NY
225700000X
Massage Therapist
Primary
026100-1
NY
Other
Enumeration date
06/24/2015
Last updated
05/23/2024
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