Individual provider · Type 1 NPI

Carmen Kotry, PA-C

Surgical Physician Assistant · Middletown, NY

NPI number 1346881836 Active

Practice location

95 Crystal Run Rd
Middletown, NY 10941-7001

Call (845) 703-6999 Map

Fax (845) 703-6297

Mailing address

155 Crystal Run Rd
Middletown, NY 10941-4028

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400X25MP00531400 (NJ)
Surgical Physician Assistant Primary 363AS0400X027098 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1346881836

Carmen Kotry, PA-C's National Provider Identifier is 1346881836, issued on Oct 5, 2019. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Middletown, NY. The record was last updated on Sep 14, 2021.