| NPI | 1396717153 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-02-06 |
| Last Updated | 2007-10-23 |
| Mailing Address | 20 Squadron Blvd, Suite 550 New City, NY 10956-5200 United States Phone: (845) 634-8800 | Fax: (845) 638-1679 📍 View Map |
| Primary Practice Address | 20 Squadron Blvd, Suite 550 New City, NY 10956-5200 United States Phone: (845) 634-8800 | Fax: (845) 638-1679 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | NY | 01714167 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207R00000X – Internal Medicine | NY | 204324 |
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About NPI 1396717153
Yanina Kotlyar MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1396717153. The primary specialty listed is Internal Medicine. The provider is located in New City, NY. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-02-06. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1396717153?
NPI 1396717153 belongs to Yanina Kotlyar MD, a Internal Medicine in New City, NY. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1396717153 active?
The current status of NPI 1396717153 in the NPPES registry is Active. The record was last updated on 2007-10-23.
What specialty is NPI 1396717153?
NPI 1396717153 is classified under the taxonomy Internal Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1396717153?
You can verify NPI 1396717153 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1396717153?
The primary practice address on file for NPI 1396717153 is 20 Squadron Blvd, New City, NY 10956-5200. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1396717153 issued?
NPI 1396717153 was first issued (enumerated) on 2006-02-06. The NPPES record was last updated on 2007-10-23.
Practice Location Map
Yanina Kotlyar is located at 20 Squadron Blvd, New City, NY. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Yanina Kotlyar. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1396717153. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Internal Medicine | 204324 | NY |