Individual
OTHNIEL HOUSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
36 W 19TH ST, BAYONNE, NJ 07002-3610
(347) 930-5681
Mailing address
36 W 19TH ST, BAYONNE, NJ 07002-3610
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
298695
NY
Other
Enumeration date
08/31/2021
Last updated
11/10/2025
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