MEDICARE: MR. DOMINIQUE ALAIN COZIEN 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	2084N0400X	Neurology Physician	227697	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1609853472
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DOMINIQUE ALAIN COZIEN MD

Provider Business Mailing Address
First Line	:	137 MONTAGUE ST STE 266
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11201-3548
Country	:	US
Telephone Number	:	917-496-6423
Fax Number	:	718-722-9955

Provider Business Practice Location Address
First Line	:	1513 VOORHIES AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-3913
Country	:	US
Telephone Number	:	718-332-7878
Fax Number	:	718-504-4803

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

Provider Enumeration Date	:	12/22/2005
Last Update Date	:	10/24/2024

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