Look up the most recent NPI and PECOS records

Vladimir Kotelnik

Emergency Medicine

Allopathic & Osteopathic Physicians

Stony Brook University Hospital, Hsc Level 4, Room 176, Stony Brook, NY 11794-0001

(631) 444-2084 (631) 444-0650

PECOS Enrollment

Based on the most recent information from CMS, provider Vladimir Kotelnik is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1174055479
Provider Type
Individual
Full Name
Kotelnik, Vladimir
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
3/28/2017
Last Updated
6/29/2020

Contact Information

Practice Location

Stony Brook University Hospital, Hsc Level 4, Room 176, Stony Brook, NY 11794-0001

(631) 444-2084

(631) 638-0069

Mailing Location

PO Box 1559, Stony Brook, NY 11790-0989

(631) 444-0650

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207P00000X Primary	Description Emergency Medicine Allopathic & Osteopathic Physicians	License 304865 New York

Vladimir Kotelnik

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Patel, Jiten

Maloney, Lauren Marie

Leung, Liza

Morley, Eric J

Heslin, Samita Mohanasundaram

Duffy, Erin I

Cohen, David

Tarsia, Victor

Schiavone, Frederick

Larson, Justin