Kottakis, Diane
Kottakis, Diane is an individual health care provider with primary practice located at 5999 Corinne Ln , Clarence Center NY 14032-9517. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Kottakis, Diane can be contacted via phone (732) 995-7784.Contact Information
Primary practice address
5999 Corinne Ln
Clarence Center NY 14032-9517
Phone: (732) 995-7784
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 038586-1 | New York |
Profile Details
| NPI number | 1083064646 |
|---|---|
| LBN Legal business name | Kottakis, Diane |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2016 |
| Last updated | Jun 15th, 2016 - about 8 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 | 1083064646 | NPPES |
| New York | Other | 038586-1 | NY LICENSE |
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