Individual
JOSEPH MOTACKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3550 CONCORD RD, YORK, PA 17402-8626
(717) 851-6340
(717) 851-6349
Mailing address
3550 CONCORD RD, YORK, PA 17402-8626
(717) 851-6340
(717) 851-6349
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
MD422709
PA
2084P0805X
Geriatric Psychiatry Physician
Primary
MD422709
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101249144
—
PA
01
—
1729356
PA BLUE SHIELD
PA
01
—
2144098
MAMSI
PA
01
—
2234318
CIGNA BEHAVIORAL HEALTH
PA
01
—
50048786
CAPITAL BLUE CROSS
PA
01
—
537536
VALUE OPTIONS
PA
01
—
645695 (01)
BC/BS OF MD CARE FIRST
PA
01
—
794369000
MAGELLAN
PA
01
—
P00289411
MEDICARE RAILROAD
PA
Enumeration date
06/10/2006
Last updated
07/08/2010
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