Otagho, Etinosa

Otagho, Etinosa is an individual health care provider with primary practice located at 27005 76Th Ave , New Hyde Park NY 11040-1496. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Otagho, Etinosa can be contacted via phone (718) 470-7000.

Contact Information

Primary practice address
27005 76Th Ave New Hyde Park NY 11040-1496
Phone: (718) 470-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X

Profile Details

NPI number 1538717103
LBN Legal business name Otagho, Etinosa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2019
Last updated Aug 27th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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