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General NPI Number Information
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NPI Number | 1154630200
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Entity Type | Individual
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Provider Name | MELANIE ANN MINICA-VOJTEK COTA
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Gender | Female
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Dates
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Enumeration Date | 10/06/2010
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Last Update Date | 10/06/2010
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Provider Practice Location Address
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Address Line | 379 MOUNT HOPE ROAD
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City | MIDDLETON
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State | NY
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Zip | 10940
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Country | US
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Telephone | 845-344-2292
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Fax | 845-342-2054
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Provider Business Mailing Address
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Address Line | 249 BROADWAY
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City | NEWBURGH
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State | NY
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Zip | 12550
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Country | US
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Telephone | 845-561-0670
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Fax | 845-561-9456
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 006495-1
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License Number State | NY
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