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Organization
GRAMERCY PARK GASTROENTEROLOGY PC
Active
Organization
GRAMERCY PARK GASTROENTEROLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE JOHN OTTAVIANO MD (OWNER)
(212) 845-9255
Entity
Organization
Contact information
Practice address
60 GRAMERCY PARK N, NEW YORK, NY 10010-5423
(212) 845-9255
(347) 602-4674
Mailing address
303 5TH AVE, SUITE #1205, NEW YORK, NY 10016-6601
(212) 845-9255
(347) 602-4674
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/26/2010
Last updated
07/21/2011
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