Individual
MR. CHRISTOPHER MICHAEL OTANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
104 HEROD POINT RD, WADING RIVER, NY 11792-1216
(631) 745-6277
Mailing address
104 HEROD POINT RD, WADING RIVER, NY 11792-1216
(631) 745-6277
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
783751-01
NY
Other
Enumeration date
09/06/2025
Last updated
09/06/2025
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