Individual
EMMA OTIENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
208 E 116TH ST, NEW YORK, NY 10029-1451
(646) 441-0294
Mailing address
208 E 116TH ST FRNT A, NEW YORK, NY 10029-1451
(646) 441-0294
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
01157
CT
213E00000X
Podiatrist
Primary
N007235
NY
Other
Enumeration date
03/25/2020
Last updated
09/26/2024
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