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Individual
SHAWN COTTON
Active
Individual
SHAWN COTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
191738
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010036703
UNIVERA
NY
01
—
000511934006
BC/BS
NY
01
—
0105594
IHA
NY
05
—
01781593
—
NY
01
—
040426003843
FIDELIS
NY
01
—
080192888
RAILROAD MEDICARE
NY
01
—
148126BF
PREFERRED CARE
NY
01
—
191738
LICENSE
NY
01
—
CK7008
RAILROAD MEDICARE
NY
Enumeration date
02/15/2006
Last updated
07/23/2008
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