Ismael Otero
Ismael Otero is a Non-emergency Medical Transport (VAN) in Wyandanch, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2020
Practice location Address checks out
21 Westchester AveWyandanch, NY 11798-4518
Phone: (631) 482-5635
Fax: (631) 920-0278
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Non-emergency Medical Transport (VAN) (primary) | Taxonomy 343900000X · Licence CDD9306 (NY) |
|---|
Record details
| NPI number | 1437761921 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 18, 2020 |
| Last updated in NPPES | August 18, 2020 |
| Certification date | August 18, 2020 |
| Mailing address | 21 Westchester Ave, Wyandanch, NY 11798-4518 |
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