Healthcare Provider Details

I. General information

NPI: 1639163272
Provider Name (Legal Business Name): HARRY OSTRER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2005
Last Update Date: 10/24/2025
Certification Date: 10/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 CHILDRENS AVE STE 5D
OKLAHOMA CITY OK
73104-4637
US

IV. Provider business mailing address

550 1ST AVE MSB 136
NEW YORK NY
10016-6402
US

V. Phone/Fax

Practice location:
  • Phone: 405-271-4211
  • Fax: 405-271-2263
Mailing address:
  • Phone: 212-263-5746
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207SM0001X
TaxonomyMolecular Genetic Pathology (Medical Genetics) Physician
License Number45909
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code207SM0001X
TaxonomyMolecular Genetic Pathology (Medical Genetics) Physician
License Number182986
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: