Provider Demographics
NPI:1891271813
Name:STEVEN V KOZMARY MD LLC
Entity Type:Organization
Organization Name:STEVEN V KOZMARY MD LLC
Other - Org Name:CLEVELAND PAIN SPECIALISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-755-2179
Mailing Address - Street 1:7575 NORTHCLIFF AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:OH
Mailing Address - Zip Code:44144-3268
Mailing Address - Country:US
Mailing Address - Phone:216-417-3700
Mailing Address - Fax:
Practice Address - Street 1:7575 NORTHCLIFF AVE STE 200
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:OH
Practice Address - Zip Code:44144
Practice Address - Country:US
Practice Address - Phone:216-417-3700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STEVEN V KOZMARY MD LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-07-12
Last Update Date:2018-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain