Individual
GRACE N. OTUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
319 HEMPSTEAD AVE, WEST HEMPSTEAD, NY 11552-2042
(516) 743-9233
Mailing address
319 HEMPSTEAD AVE, WEST HEMPSTEAD, NY 11552-2042
(516) 742-9233
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
311539
NY
Other
Enumeration date
01/25/2024
Last updated
01/25/2024
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