Otterbeck, Philip Edward
Otterbeck, Philip Edward is an individual health care provider with primary practice located at 1366 Victory Blvd Suite A, Staten Island NY 10301-3907. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Otterbeck, Philip Edward can be contacted via phone (718) 727-1366.Contact Information
Primary practice address
1366 Victory Blvd Suite A
Staten Island NY 10301-3907
Phone: (718) 727-1366
Fax: (718) 727-5041
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 252426 | New York |
Profile Details
| NPI number | 1831386424 |
|---|---|
| LBN Legal business name | Otterbeck, Philip Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2007 |
| Last updated | Nov 28th, 2012 - about 13 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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