Healthcare Provider Details

I. General information

NPI: 1982867172
Provider Name (Legal Business Name): KOZHIN AND LEVY MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2008
Last Update Date: 07/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1513 VOORHIES AVE 3RD FLOOR
BROOKLYN NY
11235-3994
US

IV. Provider business mailing address

6960 108TH ST SUITE 101
FOREST HILLS NY
11375-4323
US

V. Phone/Fax

Practice location:
  • Phone: 718-368-2935
  • Fax: 718-368-9043
Mailing address:
  • Phone: 718-368-2935
  • Fax: 718-896-3166

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. NODAR KOZHIN
Title or Position: OWNER
Credential: M.D.
Phone: 718-368-2935