Individual
ELIZABETH JAN KOTKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
3237 PHILIP AVE, BRONX, NY 10465-1661
(646) 703-4359
Mailing address
3237 PHILIP AVE, BRONX, NY 10465-1661
(646) 703-4359
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000974
NY
Other
Enumeration date
02/04/2021
Last updated
02/12/2021
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