Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2200X | Nurse Practitioner - Adult Health | 26NJ00357600 | NJ |
Y | 363LA2200X | Nurse Practitioner - Adult Health | F305177-1 | NY |
NPI | 1013244730 |
---|---|
Provider Name | Erin Botti |
First Address | Warwick, NY 10990-1035 |
Second Address | Goshen, NY 10924-6753 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/11/2009 |
Last Update Date | 08/08/2019 |