Individual
PETER S KOZUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 UNION SQ E, SUITE 4C, NEW YORK, NY 10003-3314
(212) 844-8070
Mailing address
PO BOX 95000-2441, PHILADELPHIA, PA 19195-2441
(212) 256-3539
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
216988
NY
207RH0003X
Hematology & Oncology Physician
Primary
216988
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02064428
—
NY
Enumeration date
11/23/2005
Last updated
10/14/2015
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