| Doctor Name: | STEPHANIE NICOLE KOTT |
| NPI Number: | 1164730339 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA |
| License Number: | 014158 |
| Business Practice Address: | 8750 Transit Rd Suite 105 East Amherst, NY - 140512610 |
| Business Phone Number: | 7166361470 |
| Business Fax Number: | 7166361423 |
| Mailing Address: | 8750 Transit Rd, Suite 105 EAST AMHERST |
| State: | NY |
| Postal Code: | 140512610 |
| Phone Number: | 7166361470 |
| Fax Number: | 7166361423 |
| NPI Enumeration Date: | 09/21/2010 |
| NPI Last Update Date: | 08/10/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 014158 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |