Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kotlyar Medical PC

Organization Anesthesiology Physician · NPI 1205363454

Kotlyar Medical PC is an Anesthesiology Physician in New York, New York. Licensed in New York. Registered with an NPI since 2017.

Licensed in
NY
In the registry since
2017
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

369 Lexington Ave Rm 800
New York, NY 10017-6536
Phone: (631) 264-2030
Fax: (631) 264-1418
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 263221 (NY)

Record details

NPI number1205363454
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vitaly Kotlyar — Owner · (917) 862-5558
NPI enumeratedMay 18, 2017
Last updated in NPPESOctober 8, 2019
Mailing addressPo Box 270, Massapequa Park, NY 11762-0270

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