Individual
ANU KOTHARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 W OLD COUNTRY RD STE 102, HICKSVILLE, NY 11801-4036
(516) 822-4600
(516) 822-4602
Mailing address
1000 ZECKENDORF BLVD, GARDEN CITY, NY 11530-2133
(516) 542-6880
(516) 542-5556
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
159391
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01451110
—
NY
Enumeration date
07/03/2006
Last updated
06/08/2020
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