Kelly Langton Otte, MD | |
1000 10th Ave, New York City, NY 02903-4923 | |
(212) 523-8478 | |
Not Available |
Full Name | Kelly Langton Otte |
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Gender | Female |
Speciality | Pediatrics |
Location | 1000 10th Ave, New York City, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1164683165 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | LP01490 (Rhode Island) | Primary |
Entity Name | Practice Associates Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427016385 PECOS PAC ID: 5890703177 Enrollment ID: O20060330000690 |
Mailing Address | Practice Location Address |
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Kelly Langton Otte, MD 1000 10th Ave, New York, NY 10019-1147 Ph: (212) 548-8478 | Kelly Langton Otte, MD 1000 10th Ave, New York City, NY 02903-4923 Ph: (212) 523-8478 |
Sallie R Permar, M.D., PH.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 525 East 68th Street, M-622, New York City, NY 10021 Phone: 212-746-4111 | |
Bernhard Kuhn, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 525 East 68th Street, F677, Pediatric Cardiology, New York City, NY 10025 Phone: 212-746-3558 | |
Dr. John G Larsen, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1245 Park Ave, C/o Uptown Pediatrics, New York City, NY 10128 Phone: 212-427-0540 Fax: 212-534-1086 | |
Dr. Melanie Dubois, Pediatrics Medicare: Medicare Enrolled Practice Location: 525 E. 68th Street M-622, New York City, NY 10221 Phone: 646-962-6845 |