DR. DAVID SAM KOTLYAR (NPI# 1245527670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245527670 |
| Entity Type | Individual |
| Full Name | DR. DAVID SAM KOTLYAR |
| Credential | M.D. |
| Practice Address |
317 S Manning Blvd Ste 220 Albany NY 12208-3909 |
| Mailing Address |
11116 Medical Campus Rd Hagerstown MD 21742-6710 |
| Practice Telephone | 5185256418 |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2019-09-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
300926 | NY | Allopathic & Osteopathic Physicians |
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
MD446692 | PA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10 Center Drive, Nih, Building 10/12n226, Bethesda, MD 20892 | 3014961211 | |
| 11110 Medical Campus Rd Ste 130, Hagerstown, MD 21742 | 3016654710 | |
| 2215 Burdett Ave, Troy, NY 121802466 | 5182713775 | |
| 317 S Manning Blvd Ste 100, Albany, NY 122083917 | 5185251404 | |
| Hildegard Medicus Cancer Center, 1300 Massachusetts Avenue, Troy, NY 12180 | 5182685060 |
| Street Address |
317 S MANNING BLVD STE 220 |
| City | ALBANY |
| State | NY |
| Zip Code | 12208-3909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780686691 | Ellen M. Mcgrann | Physician Assistant | 317 S Manning Blvd Ste 220, Albany, NY 12208-1739 | 2005-08-11 |
| 1558841668 | Oksana Trushyk | Nurse Practitioner | 317 S Manning Blvd Ste 220, Albany, NY 12208-3909 | 2018-08-17 |
| 1740541598 | Beth L Morgan | Nurse Practitioner | 317 S Manning Blvd Ste 220, Albany, NY 12208-1739 | 2012-06-07 |
| 1043484736 | Ajaz Mohiuddin Khan | Internal Medicine | 317 S Manning Blvd Ste 220, Albany, NY 12208 | 2008-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255959045 | Fatima Mahmood | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Department of Internal Medicine, Albany, NY 12208 | 2020-07-08 |
| 1861021784 | Jessica Anne Charles-larose | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Family Medicine, Albany, NY 12208 | 2020-04-02 |
| 1235767211 | Michael Charles Harrington | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Orthopedic Surgery, Albany, NY 12208 | 2020-03-27 |
| 1518594126 | Arkar Htoo | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept of Pathology, Albany, NY 12208 | 2020-03-24 |
| 1366079030 | Omar Merdan | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Dept of Medicine/pediatrics, Albany, NY 12208 | 2020-03-24 |
| 1306473079 | Sergo Gabunia | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept of General Surgery, Albany, NY 12208 | 2020-03-24 |
| 1205469392 | Cornell Andre Morris | Social Worker | Albany Stratton Va Medical Center, 113 Holland Avenue, Albany, NY 12208 | 2020-02-17 |
| 1558909234 | St. Peter's Health Partners Medical Associates, P.C. | Surgery | 319 South Manning Blvd Suite 310, Capital Region Colon & Rectal Surgery, Albany, NY 12208 | 2019-12-13 |
| 1912543265 | Meghan Rose Baxter | Social Worker | 58 Academy Rd., Albany, NY 12208 | 2019-11-21 |
| 1245883461 | Gwendolyn Medak | Registered Nurse | 15 New Scotland Ave, Albany, NY 12208 | 2019-07-17 |
| Find all providers in zip 12208 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003171778 | Rahul Ravilla | Internal Medicine | 43 New Scotland Ave Ste 7, Albany, NY 12208-3412 | 2012-07-09 |
| 1932292653 | Syed Arzoo Mehdi | Internal Medicine | 113, Holland Avenue, Iii-k, Hem/onc, Vamc, Albany Va, Albany, NY 12208 | 2006-10-02 |
| 1225072846 | Phoebe Putney Memorial Hospital | Internal Medicine | 507 W 3rd Ave, Ste 100, Albany, GA 31701-1958 | 2006-06-15 |
| 1649241829 | Kumud Sharma Rangaraj | Internal Medicine | 427 W 3rd Ave, Suite 100, Albany, GA 31701-1975 | 2006-01-27 |
| 1033405154 | Nischala Ammannagari | Internal Medicine | 400 Patroon Creek Blvd Ste 1, Albany, NY 12206-5014 | 2011-06-27 |
| 1700013943 | Madhavi Latha Reddy Kambam | Internal Medicine | 43 New Scotland Ave, Mc 7, Albany, NY 12208-3412 | 2009-06-15 |
| 1427292812 | Andrea Spaulding Teague | Internal Medicine | 47 New Scotland Ave, Albany, NY 12208-3412 | 2009-04-29 |
| 1790929529 | Courtney M Bellomo | Internal Medicine | 43 New Scotland Ave, Mc 7, Albany, NY 12208-3412 | 2009-04-23 |
| 1578724126 | Makenzi Colleen Evangelist | Internal Medicine | 43 New Scotland Ave, Mail Code 7, Albany, NY 12208-3412 | 2008-06-17 |
| 1235306028 | Ami Miten Negandhi | Internal Medicine | 43 New Scotland Ave # 7, Albany, NY 12208-3412 | 2008-05-12 |
| Find all providers in ALBANY | ||||
Please comment or provide details below to improve the information on DR. DAVID SAM KOTLYAR.
| 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.