Individual
ROLAND GODFREY OTTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A
Contact information
Practice address
585 SCHENECTADY AVE, BROOKLYN, NY 11203-1822
(718) 604-5421
(718) 604-5527
Mailing address
585 SCHENECTADY AVE, DEPT. OF SURGERY, BROOKLYN, NY 11203-1809
(718) 604-5421
(718) 604-5527
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
003792
NY
Other
Enumeration date
01/22/2007
Last updated
06/10/2009
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