Individual
MICHAEL IFEANYI OTUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
354 HEMPSTEAD AVE STE 101, WEST HEMPSTEAD, NY 11552-2050
(516) 500-9905
(516) 500-9533
Mailing address
354 HEMPSTEAD AVE STE 101, WEST HEMPSTEAD, NY 11552-2050
(516) 500-9905
(516) 500-9533
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
307338
NY
Other
Enumeration date
07/14/2009
Last updated
01/15/2020
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