Individual
MS. NAOMI PRATIK KOTHARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1991 MARCUS AVE FL 2, NEW HYDE PARK, NY 11042-2057
(516) 354-1600
(516) 941-4673
Mailing address
55 WATER ST FL 2, NEW YORK, NY 10041-0010
(646) 680-2888
(516) 542-5556
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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