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Individual
JONATHAN ORTEGA
Active
Individual
JONATHAN ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
016976
NY
363A00000X
Physician Assistant
—
—
Other
Enumeration date
10/10/2013
Last updated
04/03/2024
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