Healthcare Provider Details

I. General information

NPI: 1891271813
Provider Name (Legal Business Name): STEVEN V KOZMARY MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2018
Last Update Date: 10/10/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12000 SNOW ROAD SUITE 8
PERMA OH
44130
US

IV. Provider business mailing address

7575 NORTHCLIFF AVE STE 200
BROOKLYN OH
44144-3268
US

V. Phone/Fax

Practice location:
  • Phone: 216-417-3700
  • Fax:
Mailing address:
  • Phone: 216-417-3700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP3300X
TaxonomyPain Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: STEVEN U KOZMARY
Title or Position: OWNER
Credential: MD
Phone: 216-417-3700