MS. PENNY KOTSIANAS


Address: 503 Lyman Ave, Woodbridge, NJ 07095-2224
Phone: 2016999913

MS. PENNY KOTSIANAS (NPI# 1194209429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194209429
Entity Type Individual
Full Name MS. PENNY KOTSIANAS
Credential LAC
Practice Address 503 Lyman Ave
Woodbridge
NJ 07095-2224
Practice Telephone 2016999913
Mailing Telephone 2016999913
Enumeration Date 2018-09-22
Last Update Date 2018-09-22
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
37AC00411400 NJ Behavioral Health & Social Service Providers

Office Location

Street Address 503 LYMAN AVE
City WOODBRIDGE
State NJ
Zip Code 07095-2224

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1437584109 Amanda Lynn Rotondo Physical Therapist 10 Woodbridge Center Dr., Suite 102, Woodbridge, NJ 07095 2013-09-12
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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1659848000 Elaine Sue Kramer Counselor 12751 Marblestone Dr Ste 200, Woodbridge, VA 22192-8337 2018-10-24
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Competitor

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City WOODBRIDGE
Zip Code 07095

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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