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Individual

DR. STEPHEN KOTTMEIER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
14 TECHNOLOGY DR, EAST SETAUKET, NY 11733-3472
(631) 444-4233
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 444-4233

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
166959
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01256826
NY
01
5094244
AETNA
NY
01
89F411
EMPIRE BC.BS
NY
Enumeration date
06/08/2006
Last updated
07/08/2007
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