Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Rose Kozakiewicz

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1669197950

Amanda Rose Kozakiewicz is a Psychiatric/Mental Health Nurse Practitioner in Patchogue, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2022

Practice location Address checks out

57 Washington Ave
Patchogue, NY 11772-2950
Phone: (631) 515-7841
Fax: (631) 518-2502
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 404432 (NY)

Record details

NPI number1669197950
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 10, 2022
Last updated in NPPESJune 10, 2025
Certification dateJune 10, 2025
Mailing address57 Washington Ave, Patchogue, NY 11772-2950

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