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Mary Elizabeth Kozak, CRPA
Peer Specialist in Riverhead, New York
NPI 1114695491

Mary Elizabeth Kozak is a Peer Specialist based in Riverhead, NY. Mary Elizabeth Kozak practices in Riverhead, NY and has the professional credentials of CRPA. The NPI Number for Mary Elizabeth Kozak is 1114695491 and holds a License No. (New York).

The current practice location address for Mary Elizabeth Kozak is 400 W Main St, Riverhead, NY and can be reached out via phone at 631-369-0104 and via fax at 631-369-5433.

Location: 400 W Main St, Riverhead, NY, 11901-2813
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114695491
Provider Name
Mary Elizabeth Kozak
Credential
CRPA
Provider Entity Type
Individual
Gender
Female
Address
400 W Main St, Riverhead, NY, 11901-2813
Phone Number
631-369-0104
Fax Number
631-369-5433
Provider Enumeration Date
09/01/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
400 W Main St
City
Riverhead
State
New York
Zip
11901-2813
Phone Number
631-369-0104
Fax Number
631-369-5433
person
Provider Business Mailing Address Details
Address
400 W Main St
City
Riverhead
State
New York
Zip
11901-2813
Phone Number
631-369-0104
Fax Number
631-369-5433
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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