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General NPI Number Information
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NPI Number | 1891271813
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Entity Type | Organization
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Legal Business Name | STEVEN V KOZMARY MD LLC
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Dates
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Enumeration Date | 07/12/2018
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Last Update Date | 10/10/2024
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Provider Practice Location Address
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Address Line | 12000 SNOW ROAD SUITE 8
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City | PERMA
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State | OH
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Zip | 44130
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Country | US
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Telephone | 216-417-3700
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Fax |
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Provider Business Mailing Address
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Address Line | 7575 NORTHCLIFF AVE STE 200
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City | BROOKLYN
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State | OH
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Zip | 44144-3268
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Country | US
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Telephone | 216-417-3700
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | STEVEN U KOZMARY
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Credential | MD
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Telephone | 216-417-3700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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