Mylotte, Kathleen M

Mylotte, Kathleen M is an individual health care provider with primary practice located at 7264 Nash Rd , North Tonawanda NY 14120-1508. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Mylotte, Kathleen M can be contacted via phone (716) 694-7700.

Contact Information

Primary practice address
7264 Nash Rd North Tonawanda NY 14120-1508
Phone: (716) 694-7700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 125943 New York

Profile Details

NPI number 1295722486
LBN Legal business name Mylotte, Kathleen M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2005
Last updated Nov 24th, 2009 - about 17 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 1295722486 NPPES
New York Other 2208900 IHA
New York Other 151122BJ IHA
New York MEDICAID 01043461 IHA
New York Other 040511000519 IHA
New York Other 00010124505 IHA
New York Other 000508674005 IHA

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