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Kristen Kotak, PA-C
NPI 1942625702 · on the registry since 2014
Practice
- Address
- 193 Baltimore Ave
Massapequa, NY 11758 - Phone
- (516) 395-8767
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-03-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York