Provider Demographics
NPI:1306963137
Name:KOTIN, BELINDA JOAN (NP)
Entity type:Individual
Prefix:MS
First Name:BELINDA
Middle Name:JOAN
Last Name:KOTIN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7031 108TH ST
Mailing Address - Street 2:APRT. 7F
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-4450
Mailing Address - Country:US
Mailing Address - Phone:718-261-1045
Mailing Address - Fax:718-261-1045
Practice Address - Street 1:7559 263RD ST
Practice Address - Street 2:HILLSIDE HOSPITAL-AMBULATORY CARE PAVILLION, #1304
Practice Address - City:GLEN OAKS
Practice Address - State:NY
Practice Address - Zip Code:11004-1150
Practice Address - Country:US
Practice Address - Phone:718-470-4566
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF400798-1283Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital