Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kyle Otto, RPAC

Individual provider Physician Assistant · NPI 1396918397

Kyle Otto, RPAC is a Physician Assistant in Mineola, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2008

Practice location Address checks out

259 1st St
Mineola, NY 11501-3957 Not confirmed with CMS for 18 years — call before visiting
Phone: (516) 663-8312
Fax: (516) 663-2184
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 012448 (NY)

Record details

NPI number1396918397
Entity typeIndividual (Type 1)
GenderMale
Credentials RPAC
Sole proprietorYes
NPI enumeratedApril 10, 2008
Last updated in NPPESApril 10, 2008

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