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SUSAN COCOZIELLO MD LLC NPI 1598007395


NPI Information

NPI: 1598007395
Provider Name: SUSAN COCOZIELLO MD LLC

Former Legal Business Name: SUSAN COCOZIELLO MD LLC

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1 BROADWAY
SUITE 303
ELMWOOD PARK, NJ
ZIP 07407
Phone: (201) 794-7717
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SUSAN COCOZIELLO MD LLC is a specialist in Elmwood Park, NJ. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SUSAN COCOZIELLO MD LLC NPI is 1598007395. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Susan Cocoziello Md Llc.

The provider's business location address is:

1 BROADWAY
SUITE 303
ELMWOOD PARK, NJ
ZIP 07407-845
Phone: (201) 794-7717
Fax: (201) 794-0335

The provider's authorized official is Susan Pakravan Cocoziello .
The authorized official title is Owner and has the following contact phone number (201) 794-7717.

The enumeration date for this NPI number is 3/20/2013 and was last updated on 8/9/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistMB25981NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1162933MEDICARE PINNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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