Organization
JOSEPH BACOTTI MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH L BACOTTI MD (PRESIDENT)
(516) 739-6600
Entity
Organization
Contact information
Practice address
330 OLD COUNTRY RD, MINEOLA, NY 11501
(516) 739-6600
(516) 739-6620
Mailing address
330 OLD COUNTRY RD, MINEOLA, NY 11501
(516) 739-6600
(516) 739-6620
Taxonomy
Speciality
Code
Description
License number
State
156FX1100X
Ophthalmic Technician/Technologist
Primary
139827
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00436246
—
NY
Enumeration date
04/19/2007
Last updated
08/10/2007
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