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Taras Kozak
General Practice Registered Nurse in Baldwinsville, New York
NPI 1851058416

Taras Kozak is a General Practice Registered Nurse based in Baldwinsville, NY and is specialized in General Practice. Taras Kozak practices in Baldwinsville, NY. The NPI Number for Taras Kozak is 1851058416 and holds a License No. 783042 (New York).

The current practice location address for Taras Kozak is 51 Waterfront Dr, Baldwinsville, NY and can be reached out via phone at 315-679-7453.

Location: 51 Waterfront Dr, Baldwinsville, NY, 13027-2100
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851058416
Provider Name
Taras Kozak
Credential
Provider Entity Type
Individual
Gender
Male
Address
51 Waterfront Dr, Baldwinsville, NY, 13027-2100
Phone Number
315-679-7453
Fax Number
Provider Enumeration Date
11/18/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
51 Waterfront Dr
City
Baldwinsville
State
New York
Zip
13027-2100
Phone Number
315-679-7453
Fax Number
person
Provider Business Mailing Address Details
Address
51 Waterfront Dr
City
Baldwinsville
State
New York
Zip
13027-2100
Phone Number
315-679-7453
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
General Practice
Taxonomy
163WG0000X
License No.
783042 (New York)
Definition
Definition to come...
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