Individual
CRAIG ROBERT KOZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
11835 RT 9W, W COXSACKIE, NY 12192-3605
(518) 731-9000
Mailing address
11835 RT 9W, W COXSACKIE, NY 12192-3605
(518) 731-9000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/02/2014
Last updated
07/02/2014
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