Individual
DR. PHILIP EDWARD OTTERBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1366 VICTORY BLVD, SUITE A, STATEN ISLAND, NY 10301-3907
(718) 727-1366
(718) 727-5041
Mailing address
1366 VICTORY BLVD, SUITE A, STATEN ISLAND, NY 10301-3907
(718) 727-1366
(718) 727-5041
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
252426
NY
Other
Enumeration date
09/27/2007
Last updated
11/28/2012
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