Individual
OTTIE LABRANCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1209 HEMPSTEAD TPKE, FRANKLIN SQUARE, NY 11010-1537
(516) 352-8300
(516) 352-8331
Mailing address
1209 HEMPSTEAD TPKE, FRANKLIN SQUARE, NY 11010
(516) 352-8300
(516) 352-8331
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
220657
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000513130101
HEALTHPLUS
—
05
—
00220657
—
NY
01
—
0136196
GHI
—
01
—
070806000104
FIDELIS CARE NEW YORK
—
01
—
1000021080
AFFINITY
—
01
—
11354771
CAQH
—
01
—
1194785824
NPI GROUP
—
01
—
1313374
AETNA HMO
—
01
—
220657
LICENSE
NY
01
—
220657B71
HEALTHFIRST
—
01
—
2662836
UNITED HEALTHCARE
—
01
—
7880841
AETNA PPO
—
01
—
82918600
HEALTH PROVIDER NETWORK
—
01
—
P3697767
OXFORD
—
01
—
WJW871
MEDICARE GROUP
—
Enumeration date
07/20/2006
Last updated
03/07/2023
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