Otter Creek Medical Office, LLP
Otter Creek Medical Office, LLP provides Family Medicine Physician services in Mc Graw, New York. Licensed in New York. Registered with an NPI since 2006.
- Licensed in
- NY
- In the registry since
- 2006
- Specialties on file
- 3
What do these letters mean?
- LLP — Limited liability partnership
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2 Elm StMc Graw, NY 13101-9471 Not confirmed with CMS for 17 years — call before visiting
Phone: (607) 836-7540
Fax: (607) 836-4180
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 186955 (NY) |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X · Licence 000148 (NY) |
| Pediatrics Physician | Taxonomy 208000000X · Licence 187190 (NY) |
Record details
| NPI number | 1164478293 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mary Mastrucci — Partner · (607) 756-0709 |
| NPI enumerated | May 26, 2006 |
| Last updated in NPPES | November 3, 2008 |
| Mailing address | 2 Elm St, Mc Graw, NY 13101-9471 |