Individual
CARLOS ORTEGA CEBALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
810 LARCHMONT RD, ELMIRA, NY 14905-1219
(347) 664-0051
Mailing address
810 LARCHMONT RD, ELMIRA, NY 14905-1219
(347) 664-0051
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
311722
NY
Other
Enumeration date
04/19/2017
Last updated
08/05/2024
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