Individual
DR. IGOR KOZLOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
325 GARFIELD PL, BROOKLYN, NY 11215-2351
(718) 230-1180
Mailing address
2704 OCEAN AVE APT D7, BROOKLYN, NY 11229-4635
(917) 215-9662
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
040427
NY
Other
Enumeration date
08/23/2016
Last updated
08/23/2016
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