| Othniel Houston, | |
|
36 W 19th St, Bayonne, NJ 07002-3610 | |
| (347) 930-5681 | |
| Not Available |
| Full Name | Othniel Houston |
|---|---|
| Gender | Male |
| Speciality | Licensed Practical Nurse |
| Location | 36 W 19th St, Bayonne, New Jersey |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205504701 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 298695 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Othniel Houston, 36 W 19th St, Bayonne, NJ 07002-3610 Ph: () - | Othniel Houston, 36 W 19th St, Bayonne, NJ 07002-3610 Ph: (347) 930-5681 |
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