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NPI Code Detail

MEDICARE: SARAH SMIGEL COTA

MEDICARE:   SARAH  SMIGEL  COTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1224Z00000XOccupational Therapy Assistant009878NY
2172V00000XCommunity Health Worker

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1407338676
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH SMIGEL COTA
Provider Business Mailing Address
First Line : 411 MAIN ST STE 300
Second Line :
City : CATSKILL
State : NY
Zip : 12414-1366
Country : US
Telephone Number : 518-719-3619
Fax Number : 518-719-3779
Provider Business Practice Location Address
First Line : 411 MAIN ST STE 300
Second Line :
City : CATSKILL
State : NY
Zip : 12414-1366
Country : US
Telephone Number : 518-719-3619
Fax Number : 518-719-3779
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/04/2018
Last Update Date : 09/20/2022

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Directions to “ SARAH SMIGEL COTA” Practice Location

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