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

Mary Elizabeth Kozak, CRPA

Individual provider Peer Specialist · NPI 1114695491

Mary Elizabeth Kozak, CRPA is a Peer Specialist in Riverhead, New York. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

400 W Main St
Riverhead, NY 11901-2813
Phone: (631) 369-0104
Fax: (631) 369-5433
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1114695491
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRPA
Sole proprietorNo
NPI enumeratedSeptember 1, 2021
Last updated in NPPESSeptember 1, 2021
Certification dateSeptember 1, 2021

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