Individual
MR. ALEXANDER KOTOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
160 W 26TH ST FL 4, NEW YORK, NY 10001-6975
(212) 924-2510
(212) 812-3800
Mailing address
9605 220TH ST, QUEENS VILLAGE, NY 11429-1347
(646) 201-8985
(718) 479-3781
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F333427-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02177773
—
NY
Enumeration date
09/20/2006
Last updated
09/27/2023
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