Healthcare Provider Details

I. General information

NPI: 1801081831
Provider Name (Legal Business Name): HERSCHEL KOTKES MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2007
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 WEYANT DR
CEDARHURST NY
11516-2514
US

IV. Provider business mailing address

45 WEYANT DR
CEDARHURST NY
11516-2514
US

V. Phone/Fax

Practice location:
  • Phone: 212-319-1339
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number221937
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number221937
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number221937
License Number StateNY

VIII. Authorized Official

Name: DR. TZVI HERSCHEL KOTKES
Title or Position: OWNER
Credential: M.D.
Phone: 212-319-1339