Adam David Cotter, PA - C
Physician Assistant, Surgical in West Islip, NY. Individual provider (NPI-1).
NPI number1669973798
StatusActive
Last updated in NPPESFeb 23, 2018
Details
- NPI
- 1669973798
- Entity type
- Individual (NPI-1)
- Name
- Adam David Cotter
- Credential
- PA - C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 23, 2018
- Last updated
- Feb 23, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | – | – | Yes |
Practice location
1175 Montauk Hwy Ste No3West Islip, NY 11795-4939
Phone 631-500-9400
Mailing address
1357 N Windsor AveBay Shore, NY 11706-4811
Phone 631-521-6763
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