Provider Demographics
NPI:1902357536
Name:COTA, ASHLEY PATRICIA (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:PATRICIA
Last Name:COTA
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MS
Other - First Name:ASHLEY
Other - Middle Name:PATRICIA
Other - Last Name:MACDONALD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:75 BEEKMAN ST.
Mailing Address - Street 2:
Mailing Address - City:PLATTSBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12901
Mailing Address - Country:US
Mailing Address - Phone:978-973-0113
Mailing Address - Fax:
Practice Address - Street 1:214 CORNELIA ST.
Practice Address - Street 2:
Practice Address - City:PLATTSBURGH
Practice Address - State:NY
Practice Address - Zip Code:12901
Practice Address - Country:US
Practice Address - Phone:518-563-2404
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-19
Last Update Date:2016-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY341124363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily