OTTER CREEK MEDICAL OFFICE, LLP
NPI 1164478293
Family Medicine in Mc Graw, NY

Q: What is Otter Creek Medical Office, LLP's NPI number?

The NPI number for Otter Creek Medical Office, LLP is 1164478293. It was assigned to this organization in the NPPES registry on May 26, 2006.

Q: What is Otter Creek Medical Office, LLP's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since May 26, 2006

2 ELM ST, MC GRAW, NY 13101(607) 836-7540(607) 836-4180 Get Directions Write a Review

NPPES record last updated: November 3, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Otter Creek Medical Office, Llp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OTTER CREEK MEDICAL OFFICE, LLP (NPI 1164478293) is a healthcare organization registered as a family medicine in Mc Graw, New York and active in the NPI registry since May 2006. The organization lists Mary Therese Mastrucci, Partner, as its authorized official.

NPPES Registry Identity

NPI1164478293

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameOTTER CREEK MEDICAL OFFICE, LLP

Location Address2 ELM STMc Graw, NY 13101-9471

Mailing Address2 Elm StMc Graw, NY 13101-9471 · (607) 836-7540 · Fax (607) 836-4180

Phone(607) 836-7540

Fax(607) 836-4180

Organization SubpartNo

Authorized OfficialMary Therese MastrucciPartner · (607) 756-0709

Enumeration DateMay 26, 2006

Last NPPES UpdateNovember 3, 2008

✔ NPI 1164478293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in NY · 186955✔ Licensed in NY · 000148

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedPediatricsTaxonomy 208000000X · License 187190 (NY)

2 ELM ST, Mc Graw, NY 13101

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Other Identifiers 2

Medicare PIN56783ANY

Medicare PINCG5966NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Otter Creek Medical Office, LLP's NPI number?

The NPI number for Otter Creek Medical Office, LLP is 1164478293. It was assigned to this organization in the NPPES registry on May 26, 2006.

Where is Otter Creek Medical Office, LLP located?

Otter Creek Medical Office, LLP is located at 2 Elm St, Mc Graw, NY 13101. The listed phone number is (607) 836-7540.

What is Otter Creek Medical Office, LLP's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Otter Creek Medical Office, LLP was last updated on November 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.