IndividualActive
Amanda Kozakiewicz
NPI 1669197950 · Psychiatric/Mental Health Nurse Practitioner · Patchogue, NY
Provider details
- NPI number
- 1669197950
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 404432 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
57 Washington Ave
Patchogue, NY 11772-2950
Phone: (631) 515-7841
Fax: (631) 518-2502
Approximate (ZIP-level) locationGet directions
Mailing address
57 Washington Ave
Patchogue, NY 11772-2950
Registry dates
- Enumerated
- 2022-10-10
- Last updated
- 2025-06-10
- Certified
- 2025-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.