ETINOSA OTAGHO

NEW HYDE PARK, NY
NPI1538717103
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
Enumeration Date2019-08-27
Last Update Date2019-08-27
Business Address
ETINOSA OTAGHO
27005 76TH AVE
NEW HYDE PARK, NY 11040-1496
Phone number: 718-470-7000
Mailing Address
ETINOSA OTAGHO
21711 130TH AVE
SPRINGFIELD GARDENS, NY 11413-1204
Phone number:
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