Individual
ERICA RENEE OTTERBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2 EMPIRE DR STE 100, RENSSELAER, NY 12144-5730
(518) 286-4899
(518) 286-4859
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
024755
NY
Other
Enumeration date
07/16/2019
Last updated
08/17/2023
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