Individual
DR. OREST JOHN KOZICKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1088 NORTH BROADWAY, YONKERS, NY 10701
(914) 207-0004
(914) 965-0107
Mailing address
P.O. BOX 998, ATTN: SJR MEDICAL, PC., YONKERS, NY 10703-0998
(914) 966-9787
(914) 966-9793
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
151151
NY
Other
Enumeration date
06/10/2005
Last updated
07/12/2021
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