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Individual

MS. NAOMI PRATIK KOTHARY

Active
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Individual

MS. NAOMI PRATIK KOTHARY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
702523
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
431225
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
431225
NURSE PRACTITIONER
NY
01
702523
NY STATE
NY
Enumeration date
06/15/2017
Last updated
05/08/2023
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