Individual provider · Type 1 NPI

Jennifer Etheridge-Otey, RPAC

Medical Physician Assistant · Brooklyn, NY

NPI number 1528134384 Active

Practice location

450 Clarkson Ave # 1222, Physician Assistant Program
Brooklyn, NY 11203-2012

Call (718) 270-7773 Map

Fax (718) 270-7459

Mailing address

450 Clarkson Avenue, Box 1222, Physician Assistant Program
Brooklyn, NY 11203

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X005589 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1528134384

Jennifer Etheridge-Otey, RPAC's National Provider Identifier is 1528134384, issued on Nov 25, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Brooklyn, NY. The record was last updated on Dec 4, 2012.