Kozakiewicz, Amanda Rose

Kozakiewicz, Amanda Rose is an sole proprietor health care provider with primary practice located at 57 Washington Ave , Patchogue NY 11772-2950. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Kozakiewicz, Amanda Rose can be contacted via phone (631) 515-7841.

Contact Information

Primary practice address
57 Washington Ave Patchogue NY 11772-2950
Phone: (631) 515-7841
Fax: (631) 518-2502
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 404432 New York

Profile Details

NPI number 1669197950
LBN Legal business name Kozakiewicz, Amanda Rose
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2022
Last updated Jun 10th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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