Individual
AMANDA ROSE KOZAKIEWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
57 WASHINGTON AVE, PATCHOGUE, NY 11772-2950
(631) 515-7841
(631) 518-2502
Mailing address
57 WASHINGTON AVE, PATCHOGUE, NY 11772-2950
(631) 515-7841
(631) 518-2502
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
404432
NY
Other
Enumeration date
10/10/2022
Last updated
06/10/2025
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