National Provider Identifier

Angela Ann Kozak

Angela Ann Kozak is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in East Concord, NY and a listed phone number of (716) 592-2909.

NPI 1164699898East Concord, NYLicensed Practical Nurse

Profile Overview

NPI
1164699898
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
May 12, 2008
Last Updated
May 12, 2008

Practice Location

  • 13077 Van Slyke RD
  • East Concord, NY 14055-9741

Phone: (716) 592-2909

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1164699898
Entity Type
Individual
Last Name
Kozak
First Name
Angela
Middle Name
Ann
Name Prefix
Mrs.
Mailing Street Address
13077 Van Slyke RD
Mailing City
East Concord
Mailing State
NY
Mailing ZIP Code
14055-9741
Mailing Country
US
Mailing Phone
(716) 592-2909
Practice Street Address
13077 Van Slyke RD
Practice City
East Concord
Practice State
NY
Practice ZIP Code
14055-9741
Practice Country
US
Practice Phone
(716) 592-2909
Enumeration Date
May 12, 2008
Last Updated
May 12, 2008
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)