Irvin L Kotkin MD PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

1534311 Issued in NY

Legal business name

IRVIN L KOTKIN MD PC

Doing business as

Nassau Queens Physical Medicine and Rehabilitation Services

Practice address

1 Cisney Ave
Floral Park, NY 11001-3249

Phone

(516) 354-4045

Fax

(516) 354-4813

NPI assigned

Sep 26, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Irvin Lee Kotkin, MD

Title

MD

Phone

(516) 354-4045

Specialties & licenses 1

Addresses

Other names 1

• Nassau Queens Physical Medicine and Rehabilitation Services Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265328000000",
    "number": "1053412593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CISNEY AVE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "11001",
            "telephone_number": "516-354-4045",
            "fax_number": "516-354-4813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CISNEY AVE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110013249",
            "telephone_number": "516-354-4045",
            "fax_number": "516-354-4813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRVIN L KOTKIN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2010-02-05",
        "status": "A",
        "authorized_official_last_name": "KOTKIN",
        "authorized_official_first_name": "IRVIN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "516-354-4045",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "1534311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nassau Queens Physical Medicine and Rehabilitation Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Medicine & Rehabilitation Physician in Floral Park, NY
• Providers in Floral Park, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.