Healthcare Provider Details

I. General information

NPI: 1104136688
Provider Name (Legal Business Name): MARIA CHRISTOFOROU COTA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/18/2010
Last Update Date: 10/18/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

316 E 88TH ST 2ND FLOOR
NEW YORK NY
10128-4909
US

IV. Provider business mailing address

316 E 88TH ST 2ND FLOOR
NEW YORK NY
10128-4909
US

V. Phone/Fax

Practice location:
  • Phone: 212-534-3656
  • Fax: 212-534-4141
Mailing address:
  • Phone: 212-534-3656
  • Fax: 212-534-4141

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number0049231
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: