| Matthew Kozminski Do Pllc | |
|
215 E 1st Ave Tarentum PA 15084-1765 | |
| (724) 749-4118 | |
| (724) 202-0394 |
| Full Name | Matthew Kozminski Do Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 215 E 1st Ave, Tarentum, Pennsylvania |
| Authorized Official Name and Position | Matthew Kozminski (DIRECTOR) |
| Authorized Official Contact | 8143305061 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Kozminski Do Pllc 238 Bear Creek Rd Prospect PA 16052-3204 Ph: (814) 330-5061 | Matthew Kozminski Do Pllc 215 E 1st Ave Tarentum PA 15084-1765 Ph: (724) 749-4118 |
| NPI Number | 1093321184 |
|---|---|
| Provider Enumeration Date | 09/23/2020 |
| Last Update Date | 09/23/2020 |
| Certification Date | 09/23/2020 |
| Medicare PECOS PAC ID | 2264835230 |
|---|---|
| Medicare Enrollment ID | O20210728002226 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093321184 | NPI | - | NPPES |
| 1649303108 | Other | PA | INDIVIDUAL PROVIDER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Matthew Paul Kozminski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649303108 PECOS PAC ID: 1153586805 Enrollment ID: I20141027001352 |
| Provider Name | Navandeep K Dhillon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740843564 PECOS PAC ID: 6709214273 Enrollment ID: I20200316001395 |
| Provider Name | Karessa A Presnar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184131344 PECOS PAC ID: 4587035381 Enrollment ID: I20230113000301 |
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