Provider Demographics
NPI:1063678332
Name:COTLIAR, JEREMY M (MD)
Entity Type:Individual
Prefix:
First Name:JEREMY
Middle Name:M
Last Name:COTLIAR
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Gender:M
Credentials:MD
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Mailing Address - Street 1:130 FORT WASHINGTON AVE
Mailing Address - Street 2:SUITE 1M
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032
Mailing Address - Country:US
Mailing Address - Phone:212-568-2600
Mailing Address - Fax:347-338-1127
Practice Address - Street 1:130 FORT WASHINGTON AVE
Practice Address - Street 2:SUITE 1M
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032
Practice Address - Country:US
Practice Address - Phone:212-568-2600
Practice Address - Fax:347-338-1127
Is Sole Proprietor?:No
Enumeration Date:2008-08-05
Last Update Date:2023-02-22
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Provider Licenses
StateLicense IDTaxonomies
NY268682207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology