Individual
ASHLEY OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
33 MONTAUK HWY, QUOGUE, NY 11959-4000
(631) 653-6000
Mailing address
614 PLEASURE DR, RIVERHEAD, NY 11901-4925
(631) 697-4347
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1096087
NY
363A00000X
Physician Assistant
014441
NY
Other
Enumeration date
10/28/2010
Last updated
03/07/2023
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