Individual
JOSE M. ORTIGUERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30 GRACE AVE APT 1G, GREAT NECK, NY 11021-2404
(631) 897-7310
Mailing address
30 GRACE AVE APT 1G, GREAT NECK, NY 11021-2404
(631) 897-7310
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
111478
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00200591(060)IM
—
NY
Enumeration date
01/20/2010
Last updated
01/20/2010
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