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Individual

RAFAL KOZIELSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
219 BRYANT ST, BUFFALO, NY 14222-2006
(716) 878-7000
Mailing address
219 BRYANT ST, BUFFALO, NY 14222-2006
(716) 878-7000

Taxonomy

Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
051766
GA
207ZP0213X
Pediatric Pathology Physician
051766
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000977215
GA
Enumeration date
04/26/2006
Last updated
11/03/2008
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