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Amanda Rose Kozakiewicz
Psychiatric/Mental Health Nurse Practitioner in Mattituck, New York
NPI 1669197950

Amanda Rose Kozakiewicz is a Psychiatric/Mental Health Nurse Practitioner based in Patchogue, NY and is specialized in Psychiatric/Mental Health. Amanda Rose Kozakiewicz practices in Mattituck, NY. The NPI Number for Amanda Rose Kozakiewicz is 1669197950 and holds a License No. 404432 (New York).

The current practice location address for Amanda Rose Kozakiewicz is 11700 Main Rd Ste 1, Mattituck, NY and can be reached out via phone at 631-624-7839.

Location: 11700 Main Rd Ste 1, Mattituck, NY, 11772-2950
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669197950
Provider Name
Amanda Rose Kozakiewicz
Credential
Provider Entity Type
Individual
Gender
Female
Address
11700 Main Rd Ste 1, Mattituck, NY, 11772-2950
Phone Number
631-624-7839
Fax Number
Provider Enumeration Date
10/10/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11700 Main Rd Ste 1
City
Mattituck
State
New York
Zip
11952-1525
Phone Number
631-624-7839
Fax Number
person
Provider Business Mailing Address Details
Address
11700 Main Rd Ste 1
City
Mattituck
State
New York
Zip
11952-1525
Phone Number
631-624-7839
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
404432 (New York)
Definition
Definition to come...
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