Individual
OTHENSIA GABBIDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
800 POLY PL, BROOKLYN, NY 11209-7104
(718) 836-6600
Mailing address
800 POLY PL, BROOKLYN, NY 11209-7104
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
566911
NY
Other
Enumeration date
07/30/2021
Last updated
07/30/2021
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