Individual provider · Type 1 NPI

Mary Elizabeth Kozak, C.R.P.A.

Peer Specialist · Riverhead, NY

NPI number 1114695491 Active

Practice location

400 W Main St
Riverhead, NY 11901-2813

Call (631) 369-0104 Map

Fax (631) 369-5433

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: 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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About NPI 1114695491

Mary Elizabeth Kozak, C.R.P.A.'s National Provider Identifier is 1114695491, issued on Sep 1, 2021. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Riverhead, NY. The record was last updated on Sep 1, 2021.