Organization
JOSEPH MOTTA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH MOTTA MD (PRESIDENT)
(718) 370-1400
Entity
Organization
Contact information
Practice address
1200 SOUTH AVE, SUITE 301, STATEN ISLAND, NY 10314-3413
(718) 370-1400
(718) 370-9290
Mailing address
1200 SOUTH AVE, SUITE 301, STATEN ISLAND, NY 10314-3413
(718) 370-1400
(718) 370-9290
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
194905
NY
208800000X
Urology Physician
Primary
194905
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01817963
—
NY
Enumeration date
08/12/2005
Last updated
01/21/2011
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