Provider Demographics
NPI:1700193000
Name:KOZHINSKIY, VLADIMIR M (MD)
Entity Type:Individual
Prefix:
First Name:VLADIMIR
Middle Name:M
Last Name:KOZHINSKIY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8718 BAY PKWY FL 1-2
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-5272
Mailing Address - Country:US
Mailing Address - Phone:718-266-0900
Mailing Address - Fax:718-266-1426
Practice Address - Street 1:8718 BAY PKWY FL 1-2
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-5272
Practice Address - Country:US
Practice Address - Phone:718-266-0900
Practice Address - Fax:718-266-1426
Is Sole Proprietor?:No
Enumeration Date:2010-09-08
Last Update Date:2020-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY258440207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine