| Type | Legal entity | [sources] | |||
|---|---|---|---|---|---|
| Name | KOT MARK | [sources] | |||
| Legal form | not available | [sources] | |||
| Country | United States | [sources] | |||
| ID Number | 00181198 | [sources] | |||
| NPI | 1295772077 | [sources] | |||
| Sector | Physician | [sources] | |||
| Status | not available | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers deemed ineligible to participate in New York State's Medicaid program.
United States · OMIG
us-medny-9737cbcb3f1bb78698d9f1a1360ca3ea8901e106 · us-npi-1295772077For experts: raw data explorer
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