Individual
ALLISON KOZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21 LAWRENCE AVE, MALVERNE, NY 11565-1406
(646) 251-5212
Mailing address
21 LAWRENCE AVE, MALVERNE, NY 11565-1406
(646) 251-5212
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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