NPI 1114695491

Mary Elizabeth Kozak, CRPA

Practitioner Peer Specialist Riverhead, NY

Practice location

Address: 400 W Main St, Riverhead, NY 11901-2813
Phone: (631) 369-0104
Fax: (631) 369-5433

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

Other Peer Specialist providers in New York →

Registry record

NPI: 1114695491
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Sep 2021
Record last updated: 1 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.