Provider Demographics
NPI:1699121954
Name:KOZICKY, ORYSIA (MD)
Entity type:Individual
Prefix:
First Name:ORYSIA
Middle Name:
Last Name:KOZICKY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 DELAFIELD RD STE 4040
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15215-3235
Mailing Address - Country:US
Mailing Address - Phone:412-784-1466
Mailing Address - Fax:412-784-1992
Practice Address - Street 1:200 DELAFIELD RD STE 4040
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15215-3235
Practice Address - Country:US
Practice Address - Phone:412-784-1466
Practice Address - Fax:412-784-1992
Is Sole Proprietor?:No
Enumeration Date:2016-05-05
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD469960207RR0500X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology