# MLP NP IN ADULT HEALTH GROUP, P.C

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- **Entity:** Organization
- **Status:** Active
- **Other names:** WEST HEMPSTEAD MEDICAL
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861927022
- **Authorized official:** MICHAEL I OTUGH NP (NURSE PRACTITIONER)
- **Authorized official phone:** (516) 500-9905

## Contact information

- **Practice address:** 354 HEMPSTEAD AVE STE 101, WEST HEMPSTEAD, NY 11552-2050
- **Practice address phone:** (516) 500-9905
- **Practice address fax:** (516) 500-9533
- **Mailing address:** 354 HEMPSTEAD AVE STE 101, WEST HEMPSTEAD, NY 11552-2050
- **Mailing address phone:** (516) 500-9905
- **Mailing address fax:** (516) 500-9533

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | 307338 | NY | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/25/2017
- **Last updated:** 01/15/2020