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Taras Kozak
NPI 1851058416 · on the registry since 2021 · sole proprietor
Practice
- Address
- 51 Waterfront Dr
Baldwinsville, NY 13027 - Phone
- (315) 679-7453
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 163WG0000X
163WG0000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-11-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York