Individual
DENNISE ELIZABETH OTERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 E 77TH ST, NEW YORK, NY 10075-1850
(212) 434-4578
Mailing address
100 E 77TH ST, NEW YORK, NY 10075-1850
(212) 434-4578
Taxonomy
Speciality
Code
Description
License number
State
207ZM0300X
Medical Microbiology Physician
036.144715
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
301000
NY
Other
Enumeration date
04/03/2014
Last updated
09/24/2019
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