Healthcare Provider Details

I. General information

NPI: 1265345144
Provider Name (Legal Business Name): KATELYNN A COTTON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 BRIAN CT
MIDDLE ISLAND NY
11953-1868
US

IV. Provider business mailing address

9 BRIAN CT
MIDDLE ISLAND NY
11953-1868
US

V. Phone/Fax

Practice location:
  • Phone: 631-603-9721
  • Fax:
Mailing address:
  • Phone: 631-603-9721
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: