Individual provider · Type 1 NPI
Amanda Rose Kozakiewicz
Psychiatric/Mental Health Nurse Practitioner · Patchogue, NY
NPI number
1669197950
Active
Practice location
57 Washington Ave
Patchogue, NY 11772-2950
Fax (631) 518-2502
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 404432 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1669197950
Amanda Rose Kozakiewicz's National Provider Identifier is 1669197950, issued on Oct 10, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Patchogue, NY. The record was last updated on Oct 31, 2026.