Individual
ALEX KOZYRSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
11 ROUTE 111, SMITHTOWN, NY 11787-3754
(631) 656-9550
(631) 656-9551
Mailing address
11 ROUTE 111, SMITHTOWN, NY 11787-3754
(631) 656-9550
(631) 656-9551
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
122944001
NY
Other
Enumeration date
01/07/2019
Last updated
01/07/2019
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