Dennis J Kotlove, M.D.
in Ogdensburg, NY. Individual provider (NPI-1).
NPI number1790764249
StatusActive
Last updated in NPPESApr 13, 2016
Details
- NPI
- 1790764249
- Entity type
- Individual (NPI-1)
- Name
- Dennis J Kotlove
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 12, 2006
- Last updated
- Apr 13, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0001X | 172093 | NY | Yes |
Practice location
214 King StOgdensburg, NY 13669-1142
Phone 315-713-6220 · Fax 315-393-3873
Mailing address
5 Lyon PlOgdensburg, NY 13669-2586
Phone 315-713-6220 · Fax 315-393-3873
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