Kozodoy, Paul
Kozodoy, Paul is an sole proprietor health care provider with primary practice located at 605 Washington Avenue , North Haven CT 06473. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. Kozodoy, Paul can be contacted via phone (203) 530-2053.Contact Information
Primary practice address
605 Washington Avenue
North Haven CT 06473
Phone: (203) 530-2053
Fax: (203) 889-0198
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 000631 | Connecticut |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 000631 | Connecticut |
Profile Details
| NPI number | 1629131388 |
|---|---|
| LBN Legal business name | Kozodoy, Paul |
| Credentials | MSW, LCSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 17th, 2006 |
| Last updated | May 1st, 2018 - about 8 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629131388 | NPPES |
| Connecticut | Other | 004260949 | CT MED. ASST. PROG. ID |
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