person
Etinosa Otagho
Surgical Physician Assistant in New Hyde Park, New York
NPI 1538717103

Etinosa Otagho is a Surgical Physician Assistant based in Springfield Gardens, NY and is specialized in Surgical. Etinosa Otagho practices in New Hyde Park, NY. The NPI Number for Etinosa Otagho is 1538717103 and holds a License No. (New York).

The current practice location address for Etinosa Otagho is 27005 76Th Ave, New Hyde Park, NY and can be reached out via phone at 718-470-7000. You can also correspond with Etinosa Otagho through the mailing address at 21711 130TH AVE, SPRINGFIELD GARDENS, NY - 11413-1204 (mailing address contact number: ).

Location: 27005 76Th Ave, New Hyde Park, NY, 11413-1204
person
Provider Profile Details
NPI Number
1538717103
Provider Name
Etinosa Otagho
Credential
Provider Entity Type
Individual
Gender
Male
Address
27005 76Th Ave, New Hyde Park, NY, 11413-1204
Phone Number
718-470-7000
Fax Number
Provider Enumeration Date
08/27/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
27005 76Th Ave
City
State
Zip
11040-1496
Phone Number
718-470-7000
Fax Number
person
Provider Business Mailing Address Details
Address
27005 76Th Ave
City
State
Zip
11040-1496
Phone Number
718-470-7000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
()
Definition
Definition to come...
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