Organization
LUIS C NINA-ORTEGA MD MPH FAAP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS CESAR NINA-ORTEGA MD (OWNER)
(212) 923-5500
Entity
Organization
Contact information
Practice address
135 HAVEN AVE, BS1, NEW YORK, NY 10032-1131
(212) 923-5500
(212) 740-2069
Mailing address
135 HAVEN AVE, BS1, NEW YORK, NY 10032-1131
(212) 923-5500
(212) 740-2069
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
100891
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01380634
—
NY
Enumeration date
05/19/2008
Last updated
05/19/2008
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