Individual
KARINA OTERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
135 MCNAIR ST, BRENTWOOD, NY 11717
(631) 715-9896
Mailing address
135 MCNAIR ST, BRENTWOOD, NY 11717-3408
(631) 715-9896
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
316346
NY
Other
Enumeration date
11/15/2013
Last updated
11/15/2013
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