# AOTA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** COTA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871961268
- **Authorized official:** MS. VICKI DEROSS COTA (COTA)
- **Authorized official phone:** (845) 492-6752

## Contact information

- **Practice address:** 27 LAKE ST, MONROE, NY 10950-3521
- **Practice address phone:** (845) 492-6752
- **Mailing address:** PO BOX 1394, GREENWOOD LAKE, NY 10925-1394
- **Mailing address phone:** (845) 492-6752

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 004814-1 | NY | Yes |

## Other

- **Enumeration date:** 09/02/2015
- **Last updated:** 09/02/2015