Organization
MICHAEL OTUGH NP IN ADULT HEALTH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL OTUGH NP (CEO)
(646) 229-5742
Entity
Organization
Contact information
Practice address
9 SAGAMORE LN, DIX HILLS, NY 11746-6013
(646) 229-5742
Mailing address
9 SAGAMORE LN, DIX HILLS, NY 11746-6013
(646) 229-5742
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/13/2020
Last updated
02/13/2020
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