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NPI Code Detail

MEDICARE: DR. NABIL KOTBI M.D.

MEDICARE: DR. NABIL KOTBI M.D.
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
12084P0800XPsychiatry Physician233432NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881679702
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NABIL KOTBI M.D.
Provider Business Mailing Address
First Line : 746 MAMARONECK AVE
Second Line : 1402
City : MAMARONECK
State : NY
Zip : 10543-1985
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 21 BLOOMINGDALE RD
Second Line :
City : WHITE PLAINS
State : NY
Zip : 10605-1504
Country : US
Telephone Number : 914-682-9100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2005
Last Update Date : 12/19/2011

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