Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 233935 | NY |
N | 207W00000X | Ophthalmologist | A100203 | CA |
NPI | 1003018102 |
---|---|
Provider Name | Dr. Daniel M Cotter |
First Address | Orchard Park, NY 14127-1720 |
Second Address | Williamsville, NY 14221-3260 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2007 |
Last Update Date | 16/04/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
233935 | NY LICENSE (01) | NY |