DR. Susan Pakravan Cocoziello, M.D. is a specialist in Elmwood Park, NJ with 59 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Susan Pakravan Cocoziello, M.D. NPI is 1073687356. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
1 BROADWAY
SUITE 105
ELMWOOD PARK, NJ
ZIP 07407-842
Phone: (201) 773-6777
Fax: (201) 300-6880
The NPI 1073687356 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The CLIA number assigned to this NPI record is 31D2079804 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 11/20/2006 and was last updated on 9/6/2019.