KYLE OTTO

MINEOLA, NY
NPI1396918397
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  012448)
Enumeration Date2008-04-10
Last Update Date2008-04-10
Business Address
-- KYLE OTTO RPAC
259 1ST ST
MINEOLA, NY 11501-3957
Phone number: 516-663-8312
Mailing Address
-- KYLE OTTO RPAC
700 HICKSVILLE RD SUITE 204
BETHPAGE, NY 11714-3471
Phone number: 516-576-6106