Kotlyar, Marina

Kotlyar, Marina is an individual health care provider with primary practice located at 2100 Bartow Ave Suite 216C, Bronx NY 10475-4614. She recently has 6 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Occupational Vision. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Kotlyar, Marina can be contacted via phone (718) 862-3937.

Contact Information

Primary practice address
2100 Bartow Ave Suite 216C Bronx NY 10475-4614
Fax: (646) 349-3252
Website:

Health care specialties

Profile Details

NPI number 1164448569
LBN Legal business name Kotlyar, Marina
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2006
Last updated Dec 18th, 2009 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164448569 NPPES
Florida MEDICAID 621051100

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