Individual
DR. CARLOS ADOLFO ORTIZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
142-42 A 41ST AVE, FLUSHING, NY 11355
(718) 939-8440
(718) 939-5378
Mailing address
142-42 A 41ST AVE, FLUSHING, NY 11355
(718) 939-8440
(718) 939-5378
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
186079
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01336745
—
NY
01
—
186079
LICENSE NUMBER
—
Enumeration date
11/28/2006
Last updated
03/07/2023
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