Individual provider · Type 1 NPI
Kristen Marie Kotak, PA-C
Physician Assistant · Massapequa, NY
Practice location
193 Baltimore Ave
Massapequa, NY 11758-4229
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant Primary | 363A00000X | 017420 (NY) |
Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…
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About NPI 1942625702
Kristen Marie Kotak, PA-C's National Provider Identifier is 1942625702, issued on Mar 3, 2014. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Massapequa, NY. The record was last updated on Mar 3, 2014.