AMANDA ROSE KOZAKIEWICZ

PATCHOGUE, NY
NPI1669197950
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY  404432)
Enumeration Date2022-10-10
Last Update Date2025-06-10
Business Address
AMANDA ROSE KOZAKIEWICZ
57 WASHINGTON AVE
PATCHOGUE, NY 11772-2950
Phone number: 631-515-7841
Mailing Address
AMANDA ROSE KOZAKIEWICZ
57 WASHINGTON AVE
PATCHOGUE, NY 11772-2950
Phone number: 631-515-7841
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