Individual provider · Type 1 NPI
Carli Ann Kotula, PA
Medical Physician Assistant · Rochester, NY
NPI number
1659708873
Active
Practice location
1555 Long Pond Rd, Department Of Medicine
Rochester, NY 14626-4122
Fax (585) 723-7871
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Oncology Physician | 2086X0206X | 16998 (NY) |
| Medical Physician Assistant Primary | 363AM0700X | 016998 (NY) |
Medical Physician Assistant: Definition to come...
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About NPI 1659708873
Carli Ann Kotula, PA's National Provider Identifier is 1659708873, issued on Oct 2, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Rochester, NY. The record was last updated on Jun 29, 2023.