Individual
DR. ANJANI KOTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 N BELLE MEAD AVE STE D, EAST SETAUKET, NY 11733-3530
(631) 751-8905
(631) 751-8908
Mailing address
100 N BELLE MEAD AVE STE D, EAST SETAUKET, NY 11733-3530
(631) 751-8905
(631) 751-8908
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
222728-1
NY
Other
Enumeration date
03/02/2006
Last updated
06/05/2019
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