Individual
PETER KOTANKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
175 E 96TH ST, APT 21L, NEW YORK, NY 10128-6200
(917) 428-1957
Mailing address
175 E 96TH ST, APT 21L, NEW YORK, NY 10128-6200
(917) 428-1957
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
262949
NY
Other
Enumeration date
07/28/2014
Last updated
07/28/2014
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