Individual
DR. JENNIFER KOZHIN-REVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
35 E 21ST ST, 7TH FLOOR, NEW YORK, NY 10010-6212
(212) 530-0659
(212) 867-4353
Mailing address
35 E 21ST ST, 7TH FLOOR, NEW YORK, NY 10010-6212
(212) 530-0659
(212) 867-4353
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
272971
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/30/2012
Last updated
05/20/2016
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