Individual
CAROL OTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
44 STEPHEN DR, PLAINVIEW, NY 11803-5724
(516) 433-8761
Mailing address
44 STEPHEN DR, PLAINVIEW, NY 11803-5724
(516) 433-8761
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
409188-1
NY
Other
Enumeration date
04/23/2010
Last updated
04/23/2010
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