Individual
RONALD WALTER KOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
15 WEBSTER ST, NORTH TONAWANDA, NY 14120-5816
(716) 694-1225
(716) 694-0983
Mailing address
15 WEBSTER ST, NORTH TONAWANDA, NY 14120-5816
(716) 694-1225
(716) 694-0983
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
390624-1
NY
Other
Enumeration date
08/03/2010
Last updated
08/03/2010
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