MEDICARE: LEONID KOZER MEDICAL, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	210014	NY

General Provider Information

NPI Number	:	1811124571
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEONID KOZER MEDICAL, P.C.

Provider Business Mailing Address
First Line	:	1550 E 13TH ST
Second Line	:	APT 6-G
City	:	BROOKLYN
State	:	NY
Zip	:	11230-7158
Country	:	US
Telephone Number	:	718-375-2825
Fax Number	:	718-375-4231

Provider Business Practice Location Address
First Line	:	1729 EAST 12TH STREET, 2ND FLOOR
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229
Country	:	US
Telephone Number	:	718-375-2825
Fax Number	:	718-375-4231

Authorized Official
Title or Position	:	OWNER
Name	:	LEONID KOZER
Credential	:	MD
Telephone Number	:	718-375-2825

Provider Enumeration Date	:	06/19/2009
Last Update Date	:	01/20/2026

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