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

Dr. Vladimir Kotelnik, MD

Individual provider Emergency Medicine Physician · NPI 1174055479

Dr. Vladimir Kotelnik, MD is an Emergency Medicine in Stony Brook, New York. Qualified in 2017, 9 years ago. Practices with Gilford Sound Emergency Physicians LLC, a 31-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
9
Licensed in
NY
In the registry since
2017
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Partly verified

Some contact details are missing from the federal record.

Stony Brook University Hospital Hsc Level 4 Rm 176
Stony Brook, NY 11794-0001
Phone: (631) 444-2084
Fax: (631) 638-0069
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 304865 (NY)

Record details

NPI number1174055479
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 28, 2017
Last updated in NPPESJune 29, 2020
Certification dateJune 29, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Gilford Sound Emergency Physicians Llc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Stony Brook