Provider Demographics
NPI:1679726871
Name:COTONE, KRISTIN MARIE (PT)
Entity Type:Individual
Prefix:MRS
First Name:KRISTIN
Middle Name:MARIE
Last Name:COTONE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MRS
Other - First Name:KRISTIN
Other - Middle Name:MARIE
Other - Last Name:COTONE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT
Mailing Address - Street 1:39 EAGLE LN
Mailing Address - Street 2:
Mailing Address - City:FARMINGDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11735-5909
Mailing Address - Country:US
Mailing Address - Phone:516-454-8194
Mailing Address - Fax:516-454-8194
Practice Address - Street 1:39 EAGLE LN
Practice Address - Street 2:
Practice Address - City:FARMINGDALE
Practice Address - State:NY
Practice Address - Zip Code:11735-5909
Practice Address - Country:US
Practice Address - Phone:516-454-8194
Practice Address - Fax:516-454-8194
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-31
Last Update Date:2008-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0104182251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics