Healthcare Provider Details

I. General information

NPI: 1881679702
Provider Name (Legal Business Name): NABIL KOTBI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/13/2005
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 MAMARONECK AVE STE 320
HARRISON NY
10528-1600
US

IV. Provider business mailing address

120 KISCO AVE STE M
MOUNT KISCO NY
10549-1417
US

V. Phone/Fax

Practice location:
  • Phone: 212-470-7801
  • Fax:
Mailing address:
  • Phone:
  • Fax: 212-470-7801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number233432
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: