Ottley, Roland Godfrey

Ottley, Roland Godfrey is an individual health care provider with primary practice located at 585 Schenectady Ave , Brooklyn NY 11203-1822. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Ottley, Roland Godfrey can be contacted via phone (718) 604-5421.

Contact Information

Primary practice address
585 Schenectady Ave Brooklyn NY 11203-1822
Phone: (718) 604-5421
Fax: (718) 604-5527
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 003792 New York

Profile Details

NPI number 1154475770
LBN Legal business name Ottley, Roland Godfrey
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Jun 10th, 2009 - about 16 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.

Request for update

Popular Providers