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Organization

MLP NP IN ADULT HEALTH GROUP, P.C

Active
Other names
WEST HEMPSTEAD MEDICAL
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL I OTUGH NP (NURSE PRACTITIONER)
(516) 500-9905
Entity
Organization

Contact information

Practice address
354 HEMPSTEAD AVE STE 101, WEST HEMPSTEAD, NY 11552-2050
(516) 500-9905
(516) 500-9533
Mailing address
354 HEMPSTEAD AVE STE 101, WEST HEMPSTEAD, NY 11552-2050
(516) 500-9905
(516) 500-9533

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
307338
NY
363LA2200X
Adult Health Nurse Practitioner
Primary

Other

Enumeration date
04/25/2017
Last updated
01/15/2020
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