Dr. Mallory Otto
Geriatric Medicine
119 Lawrence St Ste A
Saratoga Springs
, New York 12866-1346
Dr. Mallory Otto
Geriatric Medicine
119 Lawrence St Ste A
Saratoga Springs
, New York 12866-1346
(518) 886-5060
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About
Features
Specialties
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Mallory Otto
- 119 Lawrence St Ste A
- Saratoga Springs, NY
- Zip : 12866-1346
- Phone : (518) 886-5060
Second Address
- Dr. Mallory Otto
- 119 Lawrence St Ste A
- Saratoga Springs, NY
- Zip : 12866-1346
- Phone : (518) 886-5060
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0300X | Geriatric Medicine | 272535 | NY |
National Provider Identifier
| NPI | 1124317532 |
|---|---|
| Provider Name | Dr. Mallory Otto |
| First Address | Saratoga Springs, NY 12866-1346 |
| Second Address | Saratoga Springs, NY 12866-1346 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/04/2011 |
| Last Update Date | 11/06/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.