Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kyle Otto, RPAC

Individual provider Physician Assistant · NPI 1396918397

Kyle Otto, RPAC is a Physician Assistant in Mineola, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2008

Practice location Address checks out

259 1st St
Mineola, NY 11501-3957
Phone: (516) 663-8312
Fax: (516) 663-2184
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 012448 (NY)

Record details

NPI number1396918397
Entity typeIndividual (Type 1)
GenderMale
Credentials RPAC
Sole proprietorYes
NPI enumeratedApril 10, 2008
Last updated in NPPESApril 10, 2008
Mailing address700 Hicksville Rd, Suite 204, Bethpage, NY 11714-3471

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