Basic Information
| Provider Information | |||||||||
| NPI: | 1740215862 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | COTTO | ||||||||
| FirstName: | SYLVIA | ||||||||
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| Credential: | MSN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 16 KENSINGTON WAY | ||||||||
| Address2: | |||||||||
| City: | HARRIMAN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 109263006 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8452382144 | ||||||||
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| Practice Location | |||||||||
| Address1: | 260 N LITTLE TOR RD | ||||||||
| Address2: | |||||||||
| City: | NEW CITY | ||||||||
| State: | NY | ||||||||
| PostalCode: | 10956 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8459993060 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/11/2006 | ||||||||
| LastUpdateDate: | 11/07/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LP0808X | F400204 | NY | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Psych/Mental Health |
ID Information
| ID | Type | State | Issuer | Description | 00279629 | 05 | NY | MEDICAID |