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Individual

MR. TULIO R. ORTEGA

Active
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Individual

MR. TULIO R. ORTEGA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
185212
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01505884
NY
01
3161
BLUE SHIELD
01
MDA096
PREFERRED CARE
01
P010185212
EXCELLUS
Enumeration date
10/05/2006
Last updated
10/10/2012
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