Most Relevant Information
Provider Data
| NPI Number: | 1003399460 |
| Provider Name: | NICOLE S KOZILSKY |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 086981 |
Most Important Dates
| Enumeration Date: | 09/12/2018 |
| Last Updated: | 09/12/2018 |
Provider Practice Location
140 SARATOGA AVE
AMSTERDAM
NY
120101846
Practice Location Phone/Fax
| Phone: | 5188434932 |
| Fax: |
Provider Mailing Location
9 GLENWOOD RD
MENANDS
NY
122042406
Provider Mailing Phone/Fax
| Phone: | 5182689614 |
| Fax: |