Individual
MILA KOTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
329 E MAIN ST STE 4, SMITHTOWN, NY 11787-2821
(631) 540-0022
(631) 540-0030
Mailing address
329 E MAIN ST STE 4, SMITHTOWN, NY 11787-2821
(631) 540-0022
(631) 540-0030
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
273225
NY
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
273225
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A100117068
MEDICARE PTAN
NY
Enumeration date
07/09/2008
Last updated
08/13/2021
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