Individual
SAMER KOTTIECH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 W 177TH ST APT 1, NEW YORK, NY 10033-7152
(917) 453-0744
(646) 852-6408
Mailing address
601 W 177TH ST APT 1, NEW YORK, NY 10033-7152
(917) 453-0744
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
246854
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02911324
—
NY
05
—
1000015439
—
DE
Enumeration date
01/30/2006
Last updated
12/14/2023
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