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Individual

FOTINI J. KOKOTOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1111 PARK AVE, PARK AVENUE PEDIATRICS, NEW YORK, NY 10128-1234
(212) 534-3000
(212) 996-8420
Mailing address
14626 25TH DR, FLUSHING, NY 11354-1418
(917) 881-7291

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
198674
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0163323
NY
Enumeration date
09/14/2006
Last updated
08/02/2011
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