Individual provider · Type 1 NPI

Roland Godfrey Ottley, P.A

Surgical Physician Assistant · Brooklyn, NY

NPI number 1154475770 Active

Practice location

585 Schenectady Ave
Brooklyn, NY 11203-1822

Call (718) 604-5421 Map

Fax (718) 604-5527

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X003792 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1154475770

Roland Godfrey Ottley, P.A's National Provider Identifier is 1154475770, issued on Jan 22, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Brooklyn, NY. The record was last updated on Jun 10, 2009.