Provider Demographics
NPI:1609139872
Name:BOTTO, MARIA (MS ED)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:BOTTO
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:
Other - Last Name:KURSHAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:113 BIRCHWOOD WAY
Mailing Address - Street 2:
Mailing Address - City:HOPEWELL JUNCTION
Mailing Address - State:NY
Mailing Address - Zip Code:12533-4319
Mailing Address - Country:US
Mailing Address - Phone:347-623-3103
Mailing Address - Fax:
Practice Address - Street 1:113 BIRCHWOOD WAY
Practice Address - Street 2:
Practice Address - City:HOPEWELL JUNCTION
Practice Address - State:NY
Practice Address - Zip Code:12533-4319
Practice Address - Country:US
Practice Address - Phone:347-623-3103
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-21
Last Update Date:2012-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist