# IRVIN L KOTKIN MD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Nassau Queens Physical Medicine and Rehabilitation Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053412593
- **Authorized official:** IRVIN LEE KOTKIN MD (MD)
- **Authorized official phone:** (516) 354-4045

## Contact information

- **Practice address:** 1 CISNEY AVE, FLORAL PARK, NY 11001-3249
- **Practice address phone:** (516) 354-4045
- **Practice address fax:** (516) 354-4813
- **Mailing address:** 1 CISNEY AVE, FLORAL PARK, NY 11001
- **Mailing address phone:** (516) 354-4045
- **Mailing address fax:** (516) 354-4813

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 1534311 | NY | Yes |

## Other

- **Enumeration date:** 09/26/2006
- **Last updated:** 02/05/2010