Dr PETER OTTAVIO DO is a male medical professional, specializing in Pulmonary Disease. He graduated in 2000.
STONY BROOK INTERNISTS, UNIVERSITY FACULTY PRACTICE CORPORATION
26 RESEARCH WAY
EAST SETAUKET
NY
117333526
Tel: 6314440580
| Npi | 1093750028 |
| Pac Id | 2961506076 |
| Professional Enrollment Id | I20070329000565 |
| Last Name | OTTAVIO |
| First Name | PETER |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | DO |
| Medical School Name | OTHER |
| Graduation Year | 2000 |
| Primary Specialty | PULMONARY DISEASE |
| Secondary Specialty 1 | CRITICAL CARE (INTENSIVISTS) |
| Secondary Specialty 2 | UNDERSEA AND HYPERBARIC MEDICINE |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | CRITICAL CARE (INTENSIVISTS), UNDERSEA AND HYPERBARIC MEDICINE |
| Organization Legal Name | STONY BROOK INTERNISTS, UNIVERSITY FACULTY PRACTICE CORPORATION |
| Group Practice Pac Id | 9133019821 |
| Number Of Group Practice Members | 264 |
| Line 1 Street Address | 26 RESEARCH WAY |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | EAST SETAUKET |
| State | NY |
| Zip Code | 117333526 |
| Phone Number | 6314440580 |
| Hospital Affiliation Ccn 1 | 330185 |
| Hospital Affiliation Lbn 1 | JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON |
| Hospital Affiliation Ccn 2 | 330246 |
| Hospital Affiliation Lbn 2 | ST CHARLES HOSPITAL |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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