Individual
DENNIS J KOTLOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
214 KING ST, OGDENSBURG, NY 13669-1142
(315) 713-6220
(315) 393-3873
Mailing address
5 LYON PL, OGDENSBURG, NY 13669-2586
(315) 713-6220
(315) 393-3873
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
172093
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01194898
—
NY
Enumeration date
01/12/2006
Last updated
04/13/2016
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