Individual
JESSICA OTTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
577 VANDALIA AVE APT 2, BROOKLYN, NY 11239-2814
(929) 400-2639
Mailing address
577 VANDALIA AVE APT 2, BROOKLYN, NY 11239-2814
(929) 400-2639
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
772159
NY
Other
Enumeration date
06/07/2021
Last updated
06/07/2021
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