Individual
OLADAPO OTESILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
22524 111TH AVE, QUEENS VILLAGE, NY 11429-2803
(718) 506-4345
Mailing address
22524 111TH AVE, QUEENS VILLAGE, NY 11429-2803
(718) 506-4345
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
008709
NY
Other
Enumeration date
09/10/2018
Last updated
09/10/2018
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