MEDICARE: HARRY OSTRER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207SM0001X	Molecular Genetic Pathology (Medical Genetics) Physician	45909	OK
2	207SM0001X	Molecular Genetic Pathology (Medical Genetics) Physician	182986	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639163272
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HARRY OSTRER M.D.

Provider Business Mailing Address
First Line	:	550 1ST AVE
Second Line	:	MSB 136
City	:	NEW YORK
State	:	NY
Zip	:	10016-6402
Country	:	US
Telephone Number	:	212-263-5746
Fax Number	:

Provider Business Practice Location Address
First Line	:	1200 CHILDRENS AVE STE 5D
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73104-4637
Country	:	US
Telephone Number	:	405-271-4211
Fax Number	:	405-271-2263

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/09/2005
Last Update Date	:	10/24/2025

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