Cyril Kozak, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

184223 Issued in NY

Practice address

1 Cooley HTS
Delanson, NY 12053-2442

Phone

(518) 895-2000

Fax

(518) 895-2624

NPI assigned

May 16, 2006

Last updated

Feb 8, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202428800000",
    "number": "1629020227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 725",
            "city": "COOPERSTOWN",
            "state": "NY",
            "postal_code": "133260725",
            "telephone_number": "518-895-2000",
            "fax_number": "518-895-2624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COOLEY HTS",
            "city": "DELANSON",
            "state": "NY",
            "postal_code": "120532442",
            "telephone_number": "518-895-2000",
            "fax_number": "518-895-2624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZAK",
        "first_name": "CYRIL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2008-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "184223",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "184223",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01345197",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth D. Iseman, LCSW-R
• Lori Johnson, CCC-SLP
• Collins Keehan, SLP
• Cassandra Lena Kirkpatrick, M.S. ED. CCC-SLP
• Miranda Maryan Knight Himes, LCSW-R
• Alyssa L Krenichyn, LPN
• Kayla Largeteau
• Kristin Marin Lawler, OTR/L
• Marjorie Adele Lawston
• Julie I Lindh, LCSW

• Family Medicine Physician in Delanson, NY
• Providers in Delanson, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.