Organization
KEVIN PAUL COTTERELL, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN PAUL COTTERELL MD (OWNER)
(631) 608-5215
Entity
Organization
Contact information
Practice address
400 SUNRISE HWY, AMITYVILLE, NY 11701-2508
(631) 608-5215
Mailing address
400 SUNRISE HWY, AMITYVILLE, NY 11701-2508
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A188861-1
NY
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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