Individual
JOAN M KOTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
689 JERICHO TPKE, HUNTINGTON STATION, NY 11746-7501
(631) 854-4400
(631) 854-4411
Mailing address
21 NATHAN PL, HUNTINGTON STATION, NY 11746-3225
(631) 421-2062
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
217431-1
NY
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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