Individual
DR. RICHARD E KOTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
60 N COUNTRY RD, SUITE 301, PORT JEFFERSON, NY 11777-2188
(631) 474-4200
(631) 474-4202
Mailing address
2800 MARCUS AVE, PRO HEALTH CARE, NEW HYDE PARK, NY 11042
(516) 622-6000
(516) 622-2914
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
188236
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01580890
—
NY
Enumeration date
08/24/2006
Last updated
07/25/2017
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