Organization
BRETT KOTLUS M.D. PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT KOTLUS M.D. (OWNER/PHYSICIAN)
(212) 882-1011
Entity
Organization
Contact information
Practice address
135 E 71ST ST, 1A, NEW YORK, NY 10021-4258
(212) 882-1011
Mailing address
135 E 71ST ST, 1A, NEW YORK, NY 10021-4258
(212) 882-1011
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
231319
NY
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
Primary
231319
NY
Other
Enumeration date
08/25/2015
Last updated
08/25/2015
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