Individual
MRS. BONNIE F KOTKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMHC
Contact information
Practice address
475 E MAIN ST, SUITE 200, PATCHOGUE, NY 11772-3121
(516) 909-6850
Mailing address
85 OLD BROOK RD, DIX HILLS, NY 11746-6429
(516) 909-6850
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
005520
NY
Other
Enumeration date
07/06/2013
Last updated
07/06/2013
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