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Individual

DR. DEBORAH LYNN OTTENHEIMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
103 5TH AVENUE, #3, NEW YORK CITY, NY 10003
(212) 366-4765
(212) 229-1020
Mailing address
345 GREENWICH ST, #2, NEW YORK CITY, NY 10013
(212) 366-4765
(217) 229-1020

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
202312
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01909493
NY
Enumeration date
10/13/2006
Last updated
07/08/2007
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