Individual
WALTER E BOTTIZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14 CAPRICORN LN, MOUNT KISCO, NY 10549-4224
(914) 606-0076
Mailing address
14 CAPRICORN LN, MOUNT KISCO, NY 10549-4224
(914) 606-0076
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
114648
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00598889
—
NY
Enumeration date
07/11/2005
Last updated
12/22/2025
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