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1053845602
CARLOS ORTEGA CEBALLO
ELMIRA, NY
NPI
1053845602
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NY 311722)
Enumeration Date
2017-04-19
Last Update Date
2024-08-05
Business Address
CARLOS ORTEGA CEBALLO
810 LARCHMONT RD
ELMIRA, NY 14905-1219
Phone number: 347-664-0051
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Mailing Address
CARLOS ORTEGA CEBALLO
810 LARCHMONT RD
ELMIRA, NY 14905-1219
Phone number: 347-664-0051
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