Individual
MICHAEL DANIEL OTTAVIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 HILL AVE, NASHVILLE, TN 37210-4754
(615) 329-4790
Mailing address
12 FOREST TURN, MANHASSET, NY 11030-3605
(516) 477-9471
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/19/2025
Last updated
04/19/2025
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