Jennifer Etheridge-Otey in Brooklyn - Medical

Jennifer Etheridge-Otey - NPI 1528134384

Jennifer Etheridge-Otey is a Medical in Brooklyn, New York. Jennifer Etheridge-Otey practices all healthcare services and medical treatments related to Medical. The NPI Number for Jennifer Etheridge-Otey is 1528134384. The last update date is 2012-12-04.

Jennifer Etheridge-Otey's current location address is 450 Clarkson Avenue, Box 1222, Brooklyn, New York. You can contact this provider via phone number 7182707773. The mailing address for Jennifer Etheridge-Otey is 450 Clarkson Avenue, Box 1222, Brooklyn, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Jennifer Etheridge-Otey
Address 450 Clarkson Avenue, Box 1222, Brooklyn, New York
Phone Number 7182707773
Fax Number
Sole Proprietor N
Credentials RPAC

NPI Number Detail

NPI Number 1528134384
Provider Enumeration Date 2006-11-25
Last Updated Date 2012-12-04

Provider Mailing Address Detail

Address 450 Clarkson Avenue, Box 1222
City Brooklyn
State New York (NY)
Post Code 11203
Phone Number 7182707773
Fax Number

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No 5589
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

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FAQs about Jennifer Etheridge-Otey

What is the unique provider identifier assigned to Jennifer Etheridge-Otey?

The Jennifer Etheridge-Otey has been issued the NPI (National Provider Identifier) 1528134384 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Jennifer Etheridge-Otey is physically located?

The Jennifer Etheridge-Otey is situated at the following address: 450 Clarkson Avenue, Box 1222, Brooklyn, NY 11203.

What is Jennifer Etheridge-Otey's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Jennifer Etheridge-Otey's specialized field of practice is Medical, and the corresponding taxonomy code that categorizes this area of specialization is 363Am0700X.

On what date was the 1528134384 assigned to Jennifer Etheridge-Otey?

The Jennifer Etheridge-Otey was issued its 1528134384 on 2006-11-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Jennifer Etheridge-Otey, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Jennifer Etheridge-Otey, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-12-04.

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