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General NPI Number Information
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NPI Number | 1396798872
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Entity Type | Individual
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Provider Name | LEONID KOZER M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 1729 E 12TH ST FL 2NF
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City | BROOKLYN
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State | NY
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Zip | 11229-1088
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Country | US
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Telephone | 718-375-2825
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Fax | 718-375-4231
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Provider Business Mailing Address
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Address Line | 1550 E 13TH ST APT 6-G
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City | BROOKLYN
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State | NY
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Zip | 11230-7158
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Country | US
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Telephone | 718-375-2825
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Fax | 718-375-4231
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 210014
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License Number State | NY
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