Individual provider · Type 1 NPI
Petrusia G. Kotlar, DC
Chiropractor · New York, NY
NPI number
1700946340
Active
Practice location
501 5th Ave, Ste 2111
New York, NY 10017
Fax (212) 599-2554
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | X0039241 (NY) |
| Chiropractor | 111N00000X | 38MC00282800 (NJ) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1700946340
Petrusia G. Kotlar, DC's National Provider Identifier is 1700946340, issued on Dec 12, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in New York, NY. The record was last updated on Feb 1, 2012.