Purnima M. Kothari, Physician, Pc
Pediatric Adolescent Medicine
Purnima M. Kothari, Physician, Pc is a Levittown, New York based Pediatric center with medical specialization in
Pediatric Adolescent Medicine.
It is located at
54 Heather Ln, Levittown, New York - 11756-3334. They can be contacted on phone at
516-735-1116.
NPI number (Unique professional ID) for Purnima M. Kothari, Physician, Pc is
1710193024 which was assigned by NPPES on 15 May, 2007 and it was last updated on 25 Jan, 2017.
Purnima M. Kothari, Physician, Pc license number is
146056 for Pediatrics Adolescent Medicine (2080A0000X) in New York.
Purnima M. Kothari, Physician, Pc specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Purnima M. Kothari, Physician, Pc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
|---|
| Provider Name : | Purnima M. Kothari, Physician, Pc |
|---|
Business Address:
Purnima M. Kothari, Physician, Pc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 54 Heather Ln
Levittown, NY, 11756-3334
United States |
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| Phone Number : | 516-735-1116 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1710193024 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 15 May, 2007 |
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| Last Updated On : | 25 Jan, 2017 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Purnimam Kothari |
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| Official Title or Position : | PRESIDENT |
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| Phone Number : | 516-735-1116 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Purnima M. Kothari, Physician, Pc are as mentioned. Primary taxonomy code for Purnima M. Kothari, Physician, Pc is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 146056 | NY |
| 2080A0000X | Pediatrics Adolescent Medicine | No | 204375 | NY |
Legacy Identifiers:
Other legacy medical identifiers of Purnima M. Kothari, Physician, Pc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 02005269 | Other | NY | MEDICAID GROUP |
| 00637605 | MEDICAID | NY | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 54 Heather Ln
Levittown, NY, 11756-3334
United States |
|---|
Business Location:
Patients can refer following map for directions to
Purnima M. Kothari, Physician, Pc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.