MEDICARE: DR. ANDRZEJ KOZYRA MD

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	207RN0300X	Nephrology Physician	300367	NY

General Provider Information

NPI Number	:	1144603952
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDRZEJ KOZYRA MD

Provider Business Mailing Address
First Line	:	PO BOX 416173
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02241-6173
Country	:	US
Telephone Number	:	610-644-8900
Fax Number	:

Provider Business Practice Location Address
First Line	:	960 40TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-1518
Country	:	US
Telephone Number	:	718-369-1444
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2015
Last Update Date	:	05/19/2023

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