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Individual

ADAM DAVID COTTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA - C

Contact information

Practice address
1175 MONTAUK HWY STE NO3, WEST ISLIP, NY 11795-4939
(631) 500-9400
Mailing address
1357 N WINDSOR AVE, BAY SHORE, NY 11706-4811
(631) 521-6763

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary

Other

Enumeration date
02/23/2018
Last updated
02/23/2018
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