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Individual

DR. LUIS CESAR NINAORTEGA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D, MPH

Contact information

Practice address
23 EAST 10 ST. APT. 216, APT. 216, NEW YORK, NY 10003
(212) 533-5183
(212) 740-2069
Mailing address
23 E 10TH ST APT 216, NEW YORK, NY 10003-6116
(212) 533-5183
(212) 740-2069

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
100891
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01380634
NY
Enumeration date
01/11/2007
Last updated
07/08/2007
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