Mrs Angela Ann Kozak, is a
Licensed Practical Nurse based in East Concord, New York. Mrs Angela Ann Kozak is licensed to practice in New York (license number 260414-1) and her current practice location is
13077 Van Slyke Rd, East Concord, New York. She can be reached at her office (for appointments etc.) via phone at
(716) 592-2909.
NPI number for Mrs Angela Ann Kozak is 1164699898 and her current mailing address is 13077 Van Slyke Rd, East Concord, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164699898.
Provider's Profile
| Full Name | Mrs Angela Ann Kozak |
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| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 13077 Van Slyke Rd, East Concord, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1164699898
- Provider Enumeration Date: 05/12/2008
- Last Update Date: 05/12/2008
Medical Identifiers
Medical identifiers for Mrs Angela Ann Kozak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164699898 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 260414-1 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Angela Ann Kozak is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Angela Ann Kozak,
13077 Van Slyke Rd,
East Concord, NY 14055-9741
Ph: (716) 592-2909 | Mrs Angela Ann Kozak,
13077 Van Slyke Rd,
East Concord, NY 14055-9741
Ph: (716) 592-2909 |
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