Individual
DR. GEORGINA OSORIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H.
Contact information
Practice address
1111 AMSTERDAM AVE, CLARK 6TH FLOOR, NEW YORK, NY 10025-1716
(212) 523-6500
(212) 523-5677
Mailing address
1111 AMSTERDAM AVE, CLARK 6TH FLOOR, NEW YORK, NY 10025-1716
(212) 523-6500
(212) 523-5677
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
242305
NY
207R00000X
Internal Medicine Physician
A100700
CA
207RI0200X
Infectious Disease Physician
Primary
242305
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02913293
—
NY
01
—
A400117031
MEDICARE PTAN
NY
Enumeration date
11/08/2006
Last updated
05/27/2021
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