Individual
DR. LAWRENCE ROBERT KOTKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
61 WILMINGTON DR, MELVILLE, NY 11747-4032
(631) 643-0924
(631) 491-9110
Mailing address
61 WILMINGTON DR, MELVILLE, NY 11747-4032
(631) 643-0924
(631) 491-9110
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6339
NY
103TB0200X
Cognitive & Behavioral Psychologist
6339
NY
103TC0700X
Clinical Psychologist
Primary
6339
NY
103TF0000X
Family Psychologist
6339
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
087600
VALUE OPTIONS
NY
01
—
104024000
MAGELLAN HEALTH PLANS
NY
01
—
35296
VYTRA BEHAVIORAL HEALTH
NY
01
—
87726
UNITED BEHAVIORAL HEALTH
NY
01
—
AS217
OXFORD HEALTH PLANS
NY
Enumeration date
10/26/2006
Last updated
01/14/2010
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