Individual
MR. PAUL THOMAS KOTECKI II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
50 JOHN MUNN RD, SARANAC LAKE, NY 12983-1341
(518) 891-3590
Mailing address
50 JOHN MUNN RD, SARANAC LAKE, NY 12983-1341
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
797260
NY
Other
Enumeration date
07/08/2022
Last updated
07/08/2022
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