MRS. THERESA MARIE KOTASH


Address: 71 Brown Rd, Wappingers Falls, NY 12590
Phone: 8455920591

MRS. THERESA MARIE KOTASH (NPI# 1073782595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073782595
Entity Type Individual
Full Name MRS. THERESA MARIE KOTASH
Credential LPN
Practice Address 71 Brown Rd
Wappingers Falls
NY 12590
Mailing Address 71 Brown Road
Wappingers Falls
NY 12590
Practice Telephone 8455920591
Mailing Telephone 8455920591
Enumeration Date 2008-02-28
Last Update Date 2008-02-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
2880831 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 71 BROWN RD
City WAPPINGERS FALLS
State NY
Zip Code 12590

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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

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Competitor

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City WAPPINGERS FALLS
Zip Code 12590

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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