Organization
TONI OTWAY MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONI M OTWAY MD (MEDICAL DOCTOR)
(718) 442-3434
Entity
Organization
Contact information
Practice address
1478 VICTORY BLVD, STATEN ISLAND, NY 10301-3915
(718) 442-3434
Mailing address
1478 VICTORY BLVD, STATEN ISLAND, NY 10301-3915
(718) 442-3434
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
216745-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
550C72
—
NY
Enumeration date
01/22/2009
Last updated
01/22/2009
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