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1851058416
TARAS KOZAK
BALDWINSVILLE, NY
NPI
1851058416
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WG0000X Registered Nurse, General Practice
(Licence: NY 783042)
Enumeration Date
2021-11-18
Last Update Date
2021-11-18
Business Address
TARAS KOZAK
51 WATERFRONT DR
BALDWINSVILLE, NY 13027-2100
Phone number: 315-679-7453
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Mailing Address
TARAS KOZAK
51 WATERFRONT DR
BALDWINSVILLE, NY 13027-2100
Phone number:
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