MR. MATTHEW KOZIOLEK (NPI# 1972012201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972012201 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW KOZIOLEK |
| Credential | LMHC |
| Practice Address |
4404 Queens Blvd Fl 2 Sunnyside NY 11104 |
| Mailing Address |
8305 98th St Apt 4r Woodhaven NY 11421-1695 |
| Practice Telephone | 7187061663 |
| Mailing Telephone | 9176483640 |
| Enumeration Date | 2017-09-29 |
| Last Update Date | 2018-09-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
0090171 | NY | Behavioral Health & Social Service Providers |
| Street Address |
4404 QUEENS BLVD FL 2 |
| City | SUNNYSIDE |
| State | NY |
| Zip Code | 11104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754219 | Haroldo Jose Valbuena-c. | Registered Nurse | 4404 Queens Blvd Fl 2, Sunnyside, NY 11104-2406 | 2020-06-15 |
| 1285105486 | Jam Marcos Evangelista | Counselor | 4404 Queens Blvd Fl 2, Sunnyside, NY 11104-2406 | 2018-12-16 |
| 1356831523 | Paulina Alicia Campbell-richards | Marriage & Family Therapist | 4404 Queens Blvd Fl 2, Sunnyside, NY 11104-2406 | 2018-05-14 |
| 1992201602 | Diego F Valencia | Social Worker | 4404 Queens Blvd Fl 2, Sunnyside, NY 11104-2406 | 2018-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558821751 | Angelica Ramnarain | Pharmacist | 41 08 Queens Blvd., Sunnyside, NY 11104 | 2019-03-22 |
| 1336603489 | City Medical of Upper East Side, Pllc | Clinic/Center | 47-24 Queens Blvd, Sunnyside, NY 11104 | 2019-01-23 |
| 1376052555 | Clara Velma Haylock | Licensed Practical Nurse | 4528 40th Ave, 2r, Sunnyside, NY 11104 | 2017-09-20 |
| 1831630169 | Wan-jung Lin | Physical Therapist | 43-48 48th St, Sunnysid, NY 11104 | 2017-03-20 |
| 1881137875 | Eastern Pharmacy Inc | Pharmacy | 4504 Greenpoint Ave, Sunnyside, NY 11104 | 2016-11-23 |
| 1770039349 | Asian Adult Day Care Center | Clinic/Center | 4120 Queens Boulevard, Sunnyside, NY 11104 | 2016-09-01 |
| 1407210818 | Amelia Anderson | Community Health Worker | 40-31 48th Street, Sunnyside, NY 11104 | 2016-04-12 |
| 1467703801 | Maureen Eisenberg | Nurse Practitioner | 47-01 Queens Boulevard, Suite 303, Sunnyside, NY 11104 | 2012-09-25 |
| 1255693628 | Suman Ghosh | Specialist | 47-15, 43rd Av, Sunnyside,queens, NY 11104 | 2012-06-12 |
| 1558648162 | Mahbub Zaman Khundkar | Pharmacist | 4504 Greenpoint Avenue, Sunnyside, NY 11104 | 2011-11-10 |
| Find all providers in zip 11104 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033752621 | Heidi Ruth Graf | Counselor | 519 S 6th St Ste 6, Sunnyside, WA 98944-2102 | 2019-10-25 |
| 1568695740 | Patricia Roe | Counselor | 2280 Cemetery Rd, Sunnyside, WA 98944-9659 | 2009-09-03 |
| 1891939658 | Esteban Angel Cabrera | Counselor | 810 Mayhew St, Sunnyside, WA 98944-1867 | 2009-04-23 |
| 1982825709 | Angela Rebollosa | Counselor | 1319 Saul Rd. S., Sunnyside, WA 98944 | 2007-05-01 |
| 1467677013 | Yvonne Cullen | Counselor | 1220 Randel Rd, Sunnyside, WA 98944-9713 | 2007-04-16 |
| 1023656246 | Haber Counseling Lcsw Pllc | Counselor | 4701 Queens Blvd Ste 405, Sunnyside, NY 11104-1623 | 2019-12-18 |
| 1285105486 | Jam Marcos Evangelista | Counselor | 4404 Queens Blvd Fl 2, Sunnyside, NY 11104-2406 | 2018-12-16 |
| 1245769470 | Abbie Loveland Tuller | Counselor | 4601 Greenpoint Ave Apt 2c, Sunnyside, NY 11104 | 2017-06-10 |
| 1194196212 | Anne Tong Rufrano | Counselor | 4404 Queens Blvd, Sunnyside, NY 11104-2406 | 2015-10-15 |
| 1255700837 | Martha Walters | Counselor | 1319 Saul Rd, Sunnyside, WA 98944-2300 | 2015-09-24 |
| Find all providers in SUNNYSIDE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.