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
Phone: (718) 862-3937
Fax: (646) 349-3252
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | OPC3908 | Florida |
Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | OPC3908 | Florida |
Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | OPC3908 | Florida |
Eye and Vision Services Providers / Sports Vision | 152WS0006X | OPC3908 | Florida |
Eye and Vision Services Providers / Vision Therapy | 152WV0400X | OPC3908 | Florida |
Eye and Vision Services Providers / Occupational Vision | 152WX0102X | OPC3908 | Florida |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1164448569 | NPPES |
Florida | MEDICAID | 621051100 |
Popular Providers
-
Yearwood, Renee D.
4422 3Rd Ave 7Th Floor, Eye Clinic, Bronx NY 10457-2545 -
Vaystub, Susanna
219 W 231St St , Bronx NY 10463-5301 -
Lisitsyn, Oleg
731 Lydig Ave , Bronx NY 10462-2103 -
Paternoster, Ralph
1250 Pelham Pkwy S , Bronx NY 10461-1006 -
Horn, David
120 Alcott Pl Front 1, Bronx NY 10475-4201 -
Gottfried, Abraham Jacob
2856 3Rd Ave , Bronx NY 10455-2726 -
Mann, Harris
207 E Fordham Rd , Bronx NY 10458-5014 -
Saperstein, Gary Stephan
3539 Riverdale Ave , Bronx NY 10463-1803