Individual
GRAHAM L OTTOSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
620 W SENECA ST, ITHACA, NY 14850-3326
(607) 273-1513
(607) 273-8776
Mailing address
620 W SENECA ST, ITHACA, NY 14850-3326
(607) 273-1513
(607) 273-8776
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
F0002741
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01380556
—
NY
Enumeration date
11/29/2006
Last updated
06/25/2014
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