Provider Demographics
NPI:1477867968
Name:KOTARY, MARGARET W
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:W
Last Name:KOTARY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 N. WASHINGTON ST.
Mailing Address - Street 2:SUITE 2470
Mailing Address - City:HERKIMER
Mailing Address - State:NY
Mailing Address - Zip Code:13350-2905
Mailing Address - Country:US
Mailing Address - Phone:315-867-1465
Mailing Address - Fax:315-867-1469
Practice Address - Street 1:301 N. WASHINGTON ST.
Practice Address - Street 2:SUITE 2470
Practice Address - City:HERKIMER
Practice Address - State:NY
Practice Address - Zip Code:13350-2905
Practice Address - Country:US
Practice Address - Phone:315-867-1465
Practice Address - Fax:315-867-1469
Is Sole Proprietor?:No
Enumeration Date:2010-07-27
Last Update Date:2010-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY253748-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse