Organization
MAYUR J KOTHARI MD. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAYUR J KOTHARI MD (PRESIDENT)
(516) 794-5886
Entity
Organization
Contact information
Practice address
30 MERRICK AVENUE, SUITE 105, EAST MEADOW, NY 11554-1579
(516) 794-5886
(516) 542-0276
Mailing address
30 MERRICK AVENUE, SUITE 105, EAST MEADOW, NY 11554-1579
(516) 794-5886
(516) 542-0276
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
145468
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00754027
—
NY
Enumeration date
05/03/2007
Last updated
09/14/2007
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