Individual
DR. JOSEPH L BACOTTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
330 OLD COUNTRY RD, NUMBER 100, MINEOLA, NY 11501
(516) 739-6600
(516) 739-6620
Mailing address
825 E GATE BLVD STE 111, GARDEN CITY, NY 11530-2124
(516) 804-5200
(516) 240-6540
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
139827
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00436246
—
NY
Enumeration date
08/04/2005
Last updated
09/04/2018
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