Healthcare Provider Details

I. General information

NPI: 1982941076
Provider Name (Legal Business Name): LAUREN ALEXANDRA NOWINSKI COTA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/09/2013
Last Update Date: 01/09/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 CEDAR ST STE 302
NEW ROCHELLE NY
10801-5250
US

IV. Provider business mailing address

19 FOX RD
FLORIDA NY
10921-1005
US

V. Phone/Fax

Practice location:
  • Phone: 914-576-5292
  • Fax:
Mailing address:
  • Phone: 845-728-6614
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number008182-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: