Kotkin, Lawrence Robert
Kotkin, Lawrence Robert is an sole proprietor health care provider with primary practice located at 61 Wilmington Dr , Melville NY 11747-4032. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Kotkin, Lawrence Robert can be contacted via phone (631) 643-0924.Contact Information
Primary practice address
61 Wilmington Dr
Melville NY 11747-4032
Phone: (631) 643-0924
Fax: (631) 491-9110
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | 6339 | New York |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6339 | New York |
| Behavioral Health & Social Service Providers / Family | 103TF0000X | 6339 | New York |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 6339 | New York |
Profile Details
| NPI number | 1982789970 |
|---|---|
| LBN Legal business name | Kotkin, Lawrence Robert |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 26th, 2006 |
| Last updated | Jan 14th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982789970 | NPPES |
| New York | Other | 87726 | UNITED BEHAVIORAL HEALTH |
| New York | Other | 087600 | UNITED BEHAVIORAL HEALTH |
| New York | Other | 35296 | UNITED BEHAVIORAL HEALTH |
| New York | Other | AS217 | UNITED BEHAVIORAL HEALTH |
| New York | Other | 104024000 | UNITED BEHAVIORAL HEALTH |
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