Individual
DR. ROBERT OTTERBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1041 3RD AVE STE 201, NEW YORK, NY 10065-8114
(212) 319-3977
Mailing address
610 W 42ND ST APT N36K, NEW YORK, NY 10036-1982
(718) 490-5194
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
288798
NY
208VP0014X
Interventional Pain Medicine Physician
Primary
288798
NY
Other
Enumeration date
05/05/2014
Last updated
01/02/2024
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