Individual
MRS. THERESA MARIE KOTASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
71 BROWN RD, WAPPINGERS FALLS, NY 12590
(845) 592-0591
Mailing address
71 BROWN ROAD, WAPPINGERS FALLS, NY 12590
(845) 592-0591
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2880831
NY
Other
Enumeration date
02/28/2008
Last updated
02/28/2008
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