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Individual
LUIS A ORTIZ
Active
Individual
LUIS A ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P A
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001020-1
NY
Other
Enumeration date
11/07/2006
Last updated
03/17/2008
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