Mark W Kozicky (NPI# 1891058228, PAC ID# 5193060606) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1891058228 |
| PAC ID by PECOS | 5193060606 |
| Professional Enrollment ID | I20190102001464 |
| Full Name | Mark W Kozicky |
| Organization Legal Name | SJR MEDICAL, PC |
| Address |
128 Ashford Ave Dobbs Ferry NY 10522-1924 |
| Phone Number | 9146936500 |
| Gender | M |
| Medical School | NEW YORK MEDICAL COLLEGE |
| Graduation Year | 2012 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 5991608440 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330208 | ST JOHN'S RIVERSIDE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 128 Ashford Ave, Dobbs Ferry, NY 10522-1924 | 9146936500 | SJR MEDICAL, PC |
| Organization Legal Name | SJR MEDICAL, PC |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adnan Yunus | Internal Medicine | Sjr Medical, PC | 1088 N Broadway, Yonkers, NY 10701-1107 |
| Robert E Dematteo | Pulmonary Disease | Sjr Medical, PC | 967 N Broadway, Fl 5, Yonkers, NY 10701-1301 |
| Ana S Androne | Internal Medicine | Sjr Medical, PC | 1088 N Broadway, Yonkers, NY 10701-1107 |
| Christopher J Digiorno | Gastroenterology | Sjr Medical, PC | 1088 N Broadway, Yonkers, NY 10701-1107 |
| Michael Digiorno | Internal Medicine | Sjr Medical, PC | 1088 N Broadway, Yonkers, NY 10701-1107 |
| Paul P Antonecchia | Internal Medicine | Sjr Medical, PC | 1088 N Broadway, Yonkers, NY 10701-1107 |
| Louis C Androne | Internal Medicine | Sjr Medical, PC | 128 Ashford Ave, Dobbs Ferry, NY 10522-1924 |
| Rolando J Chumaceiro | Family Medicine | Sjr Medical, PC | 1088 N Broadway, Yonkers, NY 10701-1107 |
| Michael Schreiber | Internal Medicine | Sjr Medical, PC | 1088 N Broadway, Yonkers, NY 10701-1107 |
| Andrew M Fader | Internal Medicine | Sjr Medical, PC | 128 Ashford Ave, Dobbs Ferry, NY 10522-1924 |
| Street Address |
128 ASHFORD AVE |
| City | DOBBS FERRY |
| State | NY |
| Zip | 10522-1924 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Simin S Frisk | Anesthesiology | North Shore-lij Anesthesiology PC | 128 Ashford Ave, Dobbs Ferry, NY 10522-1924 |
| Prem S Mehta | Anesthesiology | North Shore-lij Anesthesiology PC | 128 Ashford Ave, Dobbs Ferry, NY 10522-1924 |
| Chinedum S Enyinna | Anesthesiology | North Shore-lij Anesthesiology PC | 128 Ashford Ave, Dobbs Ferry, NY 10522-1924 |
| Patrick J Murray | Orthopedic Surgery | Northeast Orthopedics and Sports Medicine Pllc | 128 Ashford Ave, Dobbs Ferry, NY 10522-1924 |
| Jonathan W Beekman | Physician Assistant | Northeast Orthopedics and Sports Medicine Pllc | 128 Ashford Ave, Dobbs Ferry, NY 10522-1924 |
| Elizabeth Mathew | Certified Registered Nurse Anesthetist (crna) | North Shore-lij Anesthesiology PC | 128 Ashford Ave, Dobbs Ferry, NY 10522-1924 |
| Andrew Y Ashikari | Surgical Oncology | Ashikari and Kelemen, Md PC | 128 Ashford Ave, Dobbs Ferry, NY 10522-1924 |
| Robert M Song | Emergency Medicine | Dobbs Ferry Emergency Medicine, PC | 128 Ashford Ave, Dobbs Ferry, NY 10522-1896 |
| Cathy Surace | Certified Registered Nurse Anesthetist (crna) | North Shore-lij Anesthesiology PC | 128 Ashford Ave, Dobbs Ferry, NY 10522-1924 |
| Yomna Nassef | Emergency Medicine | Dobbs Ferry Emergency Medicine, PC | 128 Ashford Ave, Dobbs Ferry, NY 10522-1896 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cirstin Conneely | Clinical Social Worker | 504 Broadway, Dobbs Ferry, NY 10522-1125 | |
| Laurence Lonky | Optometry | 468 Broadway, Dobbs Ferry, NY 10522-1126 | |
| Elaine D Friedman | Psychologist, Clinical | 63 Landing Dr, Dobbs Ferry, NY 10522-1184 | |
| Lucinda Ann Antrim | Clinical Social Worker | 30 Luzern Rd, Dobbs Ferry, NY 10522-1304 | |
| Derek Mansfield | Physical Therapy | 145 Palisade St, Suite 200, Dobbs Ferry, NY 10522-1627 | |
| Jay D Helman | Podiatry | Jay D. Helman Dpm PC | 11 Cedar St, Dobbs Ferry, NY 10522-1711 |
| Benjamin Liberatore | Ophthalmology | Nicholas Donas, M.d., P.l.l.c. | 18 Ashford Ave, 2m, Dobbs Ferry, NY 10522-1800 |
| Eugene J Liu | Pain Management | 18 Ashford Ave Ge, Dobbs Ferry, NY 10522-1800 | |
| Nicholas Donas | Ophthalmology | Nicholas Donas, M.d., P.l.l.c. | 18 Ashford Ave, 2m, Dobbs Ferry, NY 10522-1800 |
| Stephen S Dayan | Anesthesiology | Resource Anesthesiology Associates PC | 88 Ashford Ave, Dobbs Ferry, NY 10522-1812 |
| Find all physicians in zip 10522 | |||
| City | DOBBS FERRY |
| Zip Code | 10522 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | DOBBS FERRY + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Mark W Kozicky.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.