Individual
GERALD ORTEGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
192 W GENESEE ST, LAKE REGION UROLOGY, AUBURN, NY 13021-3361
(315) 258-5253
(315) 258-0202
Mailing address
192 W GENESEE ST, LAKE REGION UROLOGY, AUBURN, NY 13021-3361
(315) 258-5253
(315) 258-0202
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
002129
NY
Other
Enumeration date
01/10/2007
Last updated
01/03/2013
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