OTMAINE BENASSOU

STATEN ISLAND, NY
NPI1699286559
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY  F402232-1)
Enumeration Date2017-10-18
Last Update Date2017-10-18
Business Address
OTMAINE BENASSOU PMHNP
669 CASTLETON AVE
STATEN ISLAND, NY 10301-2028
Phone number: 718-442-2225
Mailing Address
OTMAINE BENASSOU PMHNP
14350 HOOVER AVE APT 303
BRIARWOOD, NY 11435-2158
Phone number: 347-579-8495
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