Individual
BRETT SETH KOTLUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20 E 66TH ST, NEW YORK, NY 10065-6531
(917) 783-1199
(646) 751-8746
Mailing address
20 E 66TH STREET, 1A, NEW YORK, NY 10065
(212) 882-1011
(646) 751-8746
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
231319
NY
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
231319
NY
Other
Enumeration date
10/25/2005
Last updated
03/22/2019
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