ROLAND GODFREY OTTLEY

BROOKLYN, NY
NPI1154475770
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: NY  003792)
Enumeration Date2007-01-22
Last Update Date2009-06-10
Business Address
-- ROLAND GODFREY OTTLEY P.A
585 SCHENECTADY AVE
BROOKLYN, NY 11203-1822
Phone number: 718-604-5421
Mailing Address
-- ROLAND GODFREY OTTLEY P.A
585 SCHENECTADY AVE DEPT. OF SURGERY
BROOKLYN, NY 11203-1809
Phone number: 718-604-5421