Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 273225 | NY |
N | 208600000X | Surgeon | 273225 | NY |
Y | 2086S0105X | Surgery of the Hand | 273225 | NY |
NPI | 1124281258 |
---|---|
Provider Name | Mila Kote |
First Address | Smithtown, NY 11787-2821 |
Second Address | Smithtown, NY 11787-2821 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2008 |
Last Update Date | 13/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A100117068 | MEDICARE PTAN (01) | NY |