Richard Bate Octavio, RN

NPI #1457967549 in Long Island City, New York

Provider Information

NPI Number
1457967549
Entity Type
Individual
Name
Richard Bate Octavio, RN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Registered Nurse - General Practice
Credential
RN
Enumeration Date
Sep 23, 2020
Last Updated
Sep 23, 2020

Practice Location

Address
2811 QUEENS PLZ N
ZIP Code
11101-4172
Phone
(718) 391-8300

Specialties & Taxonomy Codes

Specialty
Registered Nurse - General PracticeGeneral Practice

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