Individual provider · Type 1 NPI

Lissette Alexandra Otero, NP

Adult Health Nurse Practitioner · New York, NY

NPI number 1255037065 Active

Practice location

4405 Broadway
New York, NY 10040-4014

Fax (646) 666-0280

Mailing address

PO Box 746087
Atlanta, GA 30374-6087

Other practice locations

  • 161 E 91st St Apt 4A, New York, NY 10128-2019 · (203) 818-3741

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X311049 (NY)

Adult Health Nurse Practitioner: Definition to come...

21 other providers at this address

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About NPI 1255037065

Lissette Alexandra Otero, NP's National Provider Identifier is 1255037065, issued on Feb 2, 2023. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in New York, NY. The record was last updated on Apr 13, 2026.