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1154475770
ROLAND GODFREY OTTLEY
BROOKLYN, NY
NPI
1154475770
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: NY 003792)
Enumeration Date
2007-01-22
Last Update Date
2009-06-10
Business Address
-- ROLAND GODFREY OTTLEY P.A
585 SCHENECTADY AVE
BROOKLYN, NY 11203-1822
Phone number: 718-604-5421
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Mailing Address
-- ROLAND GODFREY OTTLEY P.A
585 SCHENECTADY AVE DEPT. OF SURGERY
BROOKLYN, NY 11203-1809
Phone number: 718-604-5421
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