Otterbeck, Victoria Angela

Otterbeck, Victoria Angela is an individual health care provider with primary practice located at 475 Seaview Avenue , Staten Island NY 10305. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Otterbeck, Victoria Angela can be contacted via phone (718) 226-6210.

Contact Information

Primary practice address
475 Seaview Avenue Staten Island NY 10305
Phone: (718) 226-6210
Fax: (718) 226-1653
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 009474 New York

Profile Details

NPI number 1992765416
LBN Legal business name Otterbeck, Victoria Angela
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Jan 6th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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