Ottavio, Peter

Ottavio, Peter is an individual health care provider with primary practice located at 1500 Route 112 Ste B , Port Jefferson Station NY 11776-8055. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Ottavio, Peter can be contacted via phone (631) 978-7633.

Contact Information

Primary practice address
1500 Route 112 Ste B Port Jefferson Station NY 11776-8055
Phone: (631) 978-7633
Fax: (631) 621-4115
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 232660 New York
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 232660 New York
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 232660 New York
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 232660 New York

Profile Details

NPI number 1093750028
LBN Legal business name Ottavio, Peter
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Oct 22nd, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093750028 NPPES
New York Other 232660 LICENSE NUMBER

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