Provider Demographics
NPI:1083609325
Name:ALCHERMES KOTKIN OSTROFF, D.P.M.,P.C.
Entity Type:Organization
Organization Name:ALCHERMES KOTKIN OSTROFF, D.P.M.,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF PODIATRIC MEDICINE
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:M
Authorized Official - Last Name:KOTKIN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:516-676-1116
Mailing Address - Street 1:70 GLEN ST STE 300
Mailing Address - Street 2:
Mailing Address - City:GLEN COVE
Mailing Address - State:NY
Mailing Address - Zip Code:11542-2858
Mailing Address - Country:US
Mailing Address - Phone:516-676-1116
Mailing Address - Fax:516-676-2710
Practice Address - Street 1:70 GLEN ST STE 300
Practice Address - Street 2:
Practice Address - City:GLEN COVE
Practice Address - State:NY
Practice Address - Zip Code:11542
Practice Address - Country:US
Practice Address - Phone:516-676-1116
Practice Address - Fax:516-676-2710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-13
Last Update Date:2018-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty