Provider Demographics
NPI:1861610487
Name:KAZMAIER, URSULA (COTA)
Entity type:Individual
Prefix:MS
First Name:URSULA
Middle Name:
Last Name:KAZMAIER
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1021 GRAND ST APT 4C
Mailing Address - Street 2:
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-2157
Mailing Address - Country:US
Mailing Address - Phone:201-795-5233
Mailing Address - Fax:
Practice Address - Street 1:525 MONMOUTH ST
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07302-1527
Practice Address - Country:US
Practice Address - Phone:201-239-8910
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor