Doctor Name: | KAREN KOTO |
NPI Number: | 1861808925 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DO |
License Number: | NONE |
Business Practice Address: | 327 Beach 19th St Far Rockaway, NY - 116914423 |
Business Phone Number: | 7188697815 |
Business Fax Number: | |
Mailing Address: | 327 Beach 19th St, FAR ROCKAWAY |
State: | NY |
Postal Code: | 116914423 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/09/2014 |
NPI Last Update Date: | 07/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | NONE |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |