Botash, Ann Sutera

Botash, Ann Sutera is an individual health care provider with primary practice located at 90 Presidential Plz 3Rd Floor, Syracuse NY 13202-2240. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Child Abuse Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Botash, Ann Sutera can be contacted via phone (315) 464-4357.

Contact Information

Primary practice address
90 Presidential Plz 3Rd Floor Syracuse NY 13202-2240
Phone: (315) 464-4357
Fax: (315) 464-2030
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 170003 New York
Allopathic & Osteopathic Physicians / Child Abuse Pediatrics 2080C0008X 170003 New York

Profile Details

NPI number 1316967714
LBN Legal business name Botash, Ann Sutera
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated May 7th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316967714 NPPES
New York MEDICAID 01185377

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