Individual
KELLY LANGTON OTTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 10TH AVE, NEW YORK CITY, NY 02903-4923
(212) 523-8478
Mailing address
1000 10TH AVE, NEW YORK, NY 10019-1147
(212) 548-8478
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
LP01490
RI
Other
Enumeration date
06/23/2008
Last updated
04/17/2015
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