Individual
MARK ROBERT KOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
609 HAMPTON RD, SOUTHAMPTON, NY 11968-3051
(631) 204-9600
(631) 204-9606
Mailing address
609 HAMPTON RD, SOUTHAMPTON, NY 11968-3051
(631) 204-9600
(631) 204-9606
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
181198
NY
Other
Enumeration date
06/01/2006
Last updated
07/08/2007
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