Provider Demographics
NPI:1093859670
Name:KOZLOWSKI, KARL F (ATC)
Entity Type:Individual
Prefix:MR
First Name:KARL
Middle Name:F
Last Name:KOZLOWSKI
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:219 HEATH ST
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14214-1167
Mailing Address - Country:US
Mailing Address - Phone:716-474-4496
Mailing Address - Fax:
Practice Address - Street 1:219 HEATH ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14214-1167
Practice Address - Country:US
Practice Address - Phone:716-474-4496
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer