Lee Maria Cozzolino, MSED

Primary specialty

SpecialistTaxonomy code 174400000X

License

2222178 Issued in NY

Practice address

236 2ND Ave
Suite 401
New York, NY 10003-2704

Phone

(212) 683-8905

Fax

(212) 683-8906

NPI assigned

Jun 10, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lee Maria Fabiani Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Functional Life Achievement. Ink.

  • Early Intervention Provider Agency
  • New York, NY
  • NPI 1902161649
  NPD (past)

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

{
    "created_epoch": "1339286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339286400000",
    "number": "1902168529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 GUILDFORD CT",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115522212",
            "telephone_number": "516-376-0315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 2ND AVE",
            "address_2": "SUITE 401",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100032704",
            "telephone_number": "212-683-8905",
            "fax_number": "212-683-8906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COZZOLINO",
        "first_name": "LEE",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "MSED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-10",
        "last_updated": "2012-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "2222178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEE",
            "last_name": "FABIANI",
            "middle_name": "MARIA",
            "credential": "LEE COZZOLINO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Montrose Cozby
• Haley Elizabeth Cozza, NP
• Laura E. Cozzarelli, MD
• Chloe-Margaux Cozzens
• Dante Beau Cozzi, MD
• CP Advanced Imaging PLLC
• CP Medical Consulting PLLC
• CPW Wellness, Inc
• CR Medical Imaging PC
• Megan Dupre Crabtree

• Specialist in New York, NY
• Providers in New York, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2012; 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.