MEDICARE: KOZUE MATSUDA

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	103K00000X	Behavior Analyst	000841	NY

General Provider Information

NPI Number	:	1407220205
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KOZUE MATSUDA

Provider Business Mailing Address
First Line	:	4615 CENTER BLVD
Second Line	:	APT 1604
City	:	LONG ISLAND CITY
State	:	NY
Zip	:	11109-5738
Country	:	US
Telephone Number	:	917-599-6033
Fax Number	:

Provider Business Practice Location Address
First Line	:	4615 CENTER BLVD
Second Line	:	APT 1604
City	:	LONG ISLAND CITY
State	:	NY
Zip	:	11109-5738
Country	:	US
Telephone Number	:	917-599-6033
Fax Number	:

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

Provider Enumeration Date	:	11/18/2015
Last Update Date	:	11/18/2015

Similar Medicare Providers

1972762664 — DR. ANITA KANTILAL PATEL M.D.
Practice Location Address:

4615 CENTER BLVD , APT 310
LONG ISLAND CITY, NY
11109-5738

Practice Phone: 402-578-6819
Practice Fax:

1972865681 — MRS. TATYANA VLADOVA MS SP. ED.
Practice Location Address:

4615 CENTER BLVD , #907
LONG ISLAND CITY, NY
11109-5738

Practice Phone: 646-824-6716
Practice Fax:

1265163448 — MS. LOREN ANN CONWAY DOULA
Practice Location Address:

785 ARBOR STATION DR
LONG BEACH, MS
39560-5738

Practice Phone: 904-607-4611
Practice Fax:

1902869738 — TRADITIONS HOSPICE OF ELK CITY, LLC
Practice Location Address:

212 SOUTH JEFFERSON AVENUE
ELK CITY, OK
73644-5738

Practice Phone: 580-243-5000
Practice Fax:

1629012091 — MISSOURI CVS PHARMACY LLC
Practice Location Address:

315 W 75TH ST
KANSAS CITY, MO
64114-5738

Practice Phone: 816-361-4668
Practice Fax:

1194909358 — MRS. YVONNE E SHAKES
Practice Location Address:

5738 HORTON RD
PLANT CITY, FL
33567-3740

Practice Phone: 813-737-2899
Practice Fax: 813-650-8654

Directions to “ KOZUE MATSUDA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.