Jill J Ottaviano

NPI #1174192876 in Patchogue, New York

Provider Information

NPI Number: 1174192876
Entity Type: Individual
Name: Jill J Ottaviano
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Registered Nurse
Enumeration Date: Jun 18, 2021
Last Updated: Jun 18, 2021

Practice Location

Address: 197 SCHOENFELD BLVD
City: Patchogue
State: New York
ZIP Code: 11772-2959
Phone: (631) 525-2601

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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