Individual provider · Type 1 NPI
Taras Kozak
General Practice Registered Nurse · Baldwinsville, NY
NPI number
1851058416
Active
Practice location
51 Waterfront Dr
Baldwinsville, NY 13027-2100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 783042 (NY) |
General Practice Registered Nurse: Definition to come...
Another provider at this address
Other general practice registered nurse providers in Baldwinsville
About NPI 1851058416
Taras Kozak's National Provider Identifier is 1851058416, issued on Nov 18, 2021. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Baldwinsville, NY. The record was last updated on Nov 18, 2021.