Individual provider · Type 1 NPI

Peter Ottavio, DO

Pulmonary Disease Physician · Port Jefferson Station, NY

NPI number 1093750028 Active

Practice location

1500 Route 112 Ste B
Port Jefferson Station, NY 11776-8055

Call (631) 978-7633 Map

Fax (631) 621-4115

Mailing address

500 Commack Rd
Commack, NY 11725-5020

Other practice locations

  • 200 Motor Pkwy Ste C-16, Hauppauge, NY 11788-5114 · (631) 978-7633

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000X232660 (NY)
Critical Care Medicine (Internal Medicine) Physician 207RC0200X232660 (NY)
Sleep Medicine (Internal Medicine) Physician 207RS0012X232660 (NY)
Pulmonary Disease Physician Primary 207RP1001X232660 (NY)

Pulmonary Disease Physician: An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

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About NPI 1093750028

Peter Ottavio, DO's National Provider Identifier is 1093750028, issued on Jun 16, 2006. The primary taxonomy on file is Pulmonary Disease Physician (207RP1001X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Oct 22, 2020.