Individual
DR. BLAIR KOKOTEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICIAN
Contact information
Practice address
1650 GRAND CONCOURSE, 5TH FL. OB GYN ADMINISTRATION, BRONX, NY 10457-7606
(718) 239-8383
(718) 239-8360
Mailing address
1650 GRAND CONCOURSE, OB/GYN 5TH FL (ADMIN), BRONX, NY 10457-7606
(718) 239-8383
(718) 239-8360
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
151150
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01170901
—
NY
Enumeration date
02/27/2007
Last updated
03/23/2015
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