| Kevin Paul Cotterell, Md Pc | |
|
400 Sunrise Hwy Amityville NY 11701-2508 | |
| (631) 608-5215 | |
| Not Available |
| Full Name | Kevin Paul Cotterell, Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 400 Sunrise Hwy, Amityville, New York |
| Authorized Official Name and Position | Kevin Paul Cotterell (OWNER) |
| Authorized Official Contact | 6316085215 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Paul Cotterell, Md Pc 400 Sunrise Hwy Amityville NY 11701-2508 Ph: () - | Kevin Paul Cotterell, Md Pc 400 Sunrise Hwy Amityville NY 11701-2508 Ph: (631) 608-5215 |
| NPI Number | 1922380294 |
|---|---|
| Provider Enumeration Date | 09/13/2011 |
| Last Update Date | 09/13/2011 |
| Medicare PECOS PAC ID | 4183882764 |
|---|---|
| Medicare Enrollment ID | O20120229000144 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922380294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A188861-1 (New York) | Primary |
| Provider Name | Kevin Cotterell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669519385 PECOS PAC ID: 6800852666 Enrollment ID: I20041203000725 |
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