Provider Profile
Listed in the NPI registry as a physician assistant, Etinosa Otagho practices in New Hyde Park, NY. Etinosa graduated from Mercy College in 2019. Etinosa is also listed as specializing in physician assistant — surgical. NPI 1538717103 identifies this record in the national registry.
Factual summary compiled by Guide.md from public records; not written by this provider.
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
27005 76TH AVE
New Hyde Park, NY 11040
Etinosa Otagho is a physician assistant in New Hyde Park, NY. That is the designation recorded for this NPI in the federal registry.
NPI registry
Etinosa Otagho is listed at 27005 76Th Ave, New Hyde Park, NY 11040. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (718) 470-7000. Contact the office directly to confirm availability and scheduling.
NPI registry
Etinosa Otagho's National Provider Identifier is 1538717103. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Etinosa Otagho attended Mercy College, graduating in 2019. This comes from the CMS National Downloadable File.
CMS public data
Etinosa Otagho has 7 years experience. Calculated from a graduation year of 2019, reported in the CMS National Downloadable File.
CMS public data
Not yet. This profile is built from public federal data and has not been confirmed by Etinosa Otagho. If this is you, claiming it is free.
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