Individual
NICHOLAS KOTSAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2025 74TH ST, EAST ELMHURST, NY 11370-1116
(347) 707-0177
Mailing address
2025 74TH ST, EAST ELMHURST, NY 11370-1116
(347) 707-0177
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000058985
NY
Other
Enumeration date
04/28/2026
Last updated
04/28/2026
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