PETER OTTAVIO

PORT JEFFERSON STATION, NY
NPI1093750028
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RP1001X Internal Medicine, Pulmonary Disease
(Licence: NY  232660)
Additional Taxonomies207R00000X Internal Medicine
(Licence: NY  232660)
207RC0200X Internal Medicine, Critical Care Medicine
(Licence: NY  232660)
207RS0012X Internal Medicine, Sleep Medicine
(Licence: NY  232660)
Enumeration Date2006-06-16
Last Update Date2020-10-22
Business Address
PETER OTTAVIO D.O.
1500 ROUTE 112 STE B
PORT JEFFERSON STATION, NY 11776-8055
Phone number: 631-978-7633
Mailing Address
PETER OTTAVIO D.O.
500 COMMACK RD
COMMACK, NY 11725-5020
Phone number: 631-675-2125