Provider Demographics
NPI:1942466255
Name:COTTO, JOSEFA (LPN)
Entity Type:Individual
Prefix:MRS
First Name:JOSEFA
Middle Name:
Last Name:COTTO
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2110 1ST AVE
Mailing Address - Street 2:#2601
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-3310
Mailing Address - Country:US
Mailing Address - Phone:212-879-7395
Mailing Address - Fax:
Practice Address - Street 1:2110 1ST AVE
Practice Address - Street 2:#2601
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-3310
Practice Address - Country:US
Practice Address - Phone:212-879-7395
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-06
Last Update Date:2008-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY138999164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse