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Individual

KARALYNN OTTERNESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
STONY BROOK MEDICINE DEPARTMENT OF EMERGENCY, 100 NICOLLS ROAD, HSC, LEVEL 4, ROOM 080, STONY BROOK, NY 11794-8350
(631) 444-2478
Mailing address
PO BOX 1554, STONY BROOK, NY 11790-0988
(631) 444-2478

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
271990
NY

Other

Enumeration date
04/13/2011
Last updated
08/03/2015
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