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

Dr. Mark Walter Kozicky, MD

Individual provider Internal Medicine Physician · NPI 1891058228

Dr. Mark Walter Kozicky, MD is an Internal Medicine in Yonkers, New York. Graduated from New York Medical College in 2012, 14 years ago. Practices with Sjr Medical, PC, a 42-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
14
Trained at
New York Medical College
Licensed in
NY
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

967 N Broadway St Johns Riverside Hospital
Yonkers, NY 10701
Phone: (914) 964-4444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 128 Ashford Ave, Dobbs Ferry, NY 10522-1924 — (914) 693-6500

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 280931 (NY)

Record details

NPI number1891058228
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 20, 2012
Last updated in NPPESJuly 20, 2018
Mailing address967 N Broadway, St. Johns Riverside Hospital Office Of Graduate Med Ed, Yonkers, NY 10701

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolNEW YORK MEDICAL COLLEGE
Graduated 2012 (14 years in practice)
Group practice Sjr Medical, Pc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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