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NPI Code Detail

MEDICARE: ALINA KOTOK PA-C

MEDICARE: ALINA KOTOK PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician AssistantMA065569PA

General Provider Information

NPI Number : 1154163285
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALINA KOTOK PA-C
Provider Business Mailing Address
First Line : 2928 PEACH ST
Second Line :
City : ERIE
State : PA
Zip : 16508-1843
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2928 PEACH ST
Second Line :
City : ERIE
State : PA
Zip : 16508-1843
Country : US
Telephone Number : 814-453-6229
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2024
Last Update Date : 06/10/2024

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Directions to “ ALINA KOTOK PA-C” Practice Location

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