KRISTEN MARIE KOTAK

MASSAPEQUA, NY
NPI1942625702
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  017420)
Enumeration Date2014-03-03
Last Update Date2014-03-03
Business Address
-- KRISTEN MARIE KOTAK PA-C
193 BALTIMORE AVE
MASSAPEQUA, NY 11758-4229
Phone number: 516-395-8767
Mailing Address
-- KRISTEN MARIE KOTAK PA-C
193 BALTIMORE AVE
MASSAPEQUA, NY 11758-4229
Phone number: 516-395-8767
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