Peter Ottavio in Port Jefferson Stati - Internal Medicine
Peter Ottavio - NPI 1093750028
Peter Ottavio is a Internal Medicine in Port Jefferson Stati, New York. Peter Ottavio practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Peter Ottavio is 1093750028. The last update date is 2020-10-22.
Peter Ottavio's current location address is 1500 Route 112 Ste B, Port Jefferson Stati, New York. You can contact this provider via phone number 6319787633 and fax number 6316214115. The mailing address for Peter Ottavio is 1500 Route 112 Ste B, Port Jefferson Stati, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peter Ottavio |
|---|---|
| Address | 1500 Route 112 Ste B, Port Jefferson Stati, New York |
| Phone Number | 6319787633 |
| Fax Number | 6316214115 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1093750028 |
|---|---|
| Provider Enumeration Date | 2006-06-16 |
| Last Updated Date | 2020-10-22 |
Provider Mailing Address Detail
| Address | 1500 Route 112 Ste B |
|---|---|
| City | Port Jefferson Stati |
| State | New York (NY) |
| Post Code | 117768055 |
| Phone Number | 6319787633 |
| Fax Number | 6316214115 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 232660 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 232660 | NY | LICENSE NUMBER |
Post Comment/ Review Below
What is the unique provider identifier assigned to Peter Ottavio?
The Peter Ottavio has been issued the NPI (National Provider Identifier) 1093750028 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Peter Ottavio's facilities are situated?
The facilities of Peter Ottavio are physically located at the following address: 1500 Route 112 Ste B, Port Jefferson Stati, NY, 117768055.
What is Peter Ottavio's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Peter Ottavio is Internal Medicine, and the taxonomy classification code that categorizes this area of expertise is 207R00000X.
When did the Peter Ottavio receive its 1093750028?
The Peter Ottavio was issued its 1093750028 on 2006-06-16, which is the date when the organization was assigned this unique identifier.
When was the information related to Peter Ottavio most recently updated or refreshed?
The details pertaining to the Peter Ottavio, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-10-22.
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