Individual
DR. JEFFREY JOSEPH ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
630 W 168TH ST # MC28, NEW YORK, NY 10032-3725
(212) 305-6912
Mailing address
630 W 168TH ST # MC28, NEW YORK, NY 10032-3725
(212) 305-6912
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
309566
NY
Other
Enumeration date
04/14/2016
Last updated
04/26/2021
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