National Provider Identifier
Shannon Kozak, RN
Shannon Kozak, RN is listed in the NPPES registry with a primary specialty of Administrator Registered Nurse in Rochester, NY and a listed phone number of (585) 865-1550.
Profile Overview
- NPI
- 1164280731
- Provider Type
- Individual
- Primary Specialty
- Administrator Registered Nurse
- Enumeration Date
- March 08, 2024
- Last Updated
- March 08, 2024
Practice Location
- 3300 Dewey Ave
- Rochester, NY 14616-3741
Phone: (585) 865-1550
Mailing Address
- 176 Rye RD
- Rochester, NY 14626-3659
Specialties
- Administrator Registered Nurse (163WA2000X)
Full Record
- NPI
- 1164280731
- Entity Type
- Individual
- Last Name
- Kozak
- First Name
- Shannon
- Credential
- RN
- Mailing Street Address
- 176 Rye RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14626-3659
- Mailing Country
- US
- Mailing Phone
- (585) 507-8940
- Practice Street Address
- 3300 Dewey Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14616-3741
- Practice Country
- US
- Practice Phone
- (585) 865-1550
- Enumeration Date
- March 08, 2024
- Last Updated
- March 08, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- March 08, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Administrator Registered Nurse (163WA2000X)