Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
OTTER CREEK MEDICAL OFFICE, LLP
Active OrganizationOTTER CREEK MEDICAL OFFICE, LLP is a Family Medicine organization located in MC GRAW, New York. NPI 1164478293 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · MC GRAW, NY
Registration Details
- NPI Number
- 1164478293
- Provider Type
- Organization
- NPI Issued
- May 26, 2006 (20.264429226705 yrs)
- Last Updated
- Nov 3, 2008
- Licenses
-
187190 (NY)000148 (NY)186955 (NY)
Practice Information
- Address
-
2 ELM STMC GRAW, NY, 131019471Browse NY providers · Browse ZIP 13101
- Phone
- 6078367540
- Fax
- 6078364180
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
- Additional Specialty
- Family Medicine
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.