Individual
DR. RISHI A KOTHARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
245 N BROADWAY, SUITE 104, SLEEPY HOLLOW, NY 10591-2670
(914) 332-0900
(914) 214-5308
Mailing address
245 N BROADWAY, SUITE 104, SLEEPY HOLLOW, NY 10591-2670
(914) 332-0900
(914) 214-5308
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
055809
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03395237
—
NY
Enumeration date
11/10/2011
Last updated
04/13/2015
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