Koty, Richard E

Koty, Richard E is an individual health care provider with primary practice located at 60 N Country Rd Suite 301, Port Jefferson NY 11777-2188. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Koty, Richard E can be contacted via phone (631) 474-4200.

Contact Information

Primary practice address
60 N Country Rd Suite 301 Port Jefferson NY 11777-2188
Phone: (631) 474-4200
Fax: (631) 474-4202
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 188236 New York

Profile Details

NPI number 1003923038
LBN Legal business name Koty, Richard E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2006
Last updated Jul 25th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003923038 NPPES
New York MEDICAID 01580890

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