Individual
G MICHAEL ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19 WEST AVE, SUITE 103, SARATOGA SPRINGS, NY 12866-6049
(518) 583-0111
(518) 583-2426
Mailing address
19 WEST AVE, SUITE 103, SARATOGA SPRINGS, NY 12866-6049
(518) 583-0111
(518) 583-2426
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
195818-3
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000434014010
BLUE SHIELD OF NORTHEASTE
NY
05
—
01492488
—
NY
01
—
10001523
CAPITAL DISTRICT PHYSICIA
NY
01
—
1099054
GHI PPO
NY
01
—
24118
MOHAWK VALLEY PHYSICIANS
NY
01
—
929454
GHI HMO
NY
01
—
G004S24710
EMPIRE BCBS
NY
01
—
P00291581
RAILROAD MEDICARE
NY
Enumeration date
05/12/2006
Last updated
04/01/2019
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