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NPI Code Detail

MEDICARE: MRS. KATHLEEN MARIE BURKE COTA

MEDICARE:  MRS. KATHLEEN MARIE BURKE  COTA
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
1224Z00000XOccupational Therapy Assistant003724-1NY

General Provider Information

NPI Number : 1477861326
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KATHLEEN MARIE BURKE COTA
Provider Business Mailing Address
First Line : 3233 MAIN ST
Second Line :
City : BUFFALO
State : NY
Zip : 14214-1323
Country : US
Telephone Number : 716-833-5353
Fax Number : 716-833-0810
Provider Business Practice Location Address
First Line : 3233 MAIN ST
Second Line :
City : BUFFALO
State : NY
Zip : 14214-1323
Country : US
Telephone Number : 716-833-5353
Fax Number : 716-833-0810
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2010
Last Update Date : 09/14/2010

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Directions to “ MRS. KATHLEEN MARIE BURKE COTA” Practice Location

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