Provider Demographics
NPI:1255856787
Name:KOZHOKEYEV, BAKYT
Entity Type:Individual
Prefix:
First Name:BAKYT
Middle Name:
Last Name:KOZHOKEYEV
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1602 W 10TH ST APT 6B
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-1124
Mailing Address - Country:US
Mailing Address - Phone:646-331-2353
Mailing Address - Fax:
Practice Address - Street 1:1602 W 10TH ST APT 6B
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11223-1124
Practice Address - Country:US
Practice Address - Phone:646-331-2353
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY703649-1163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty