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1699844589
LUIS A ORTIZ
BRONX, NY
NPI
1699844589
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 001020-1)
Enumeration Date
2006-11-07
Last Update Date
2008-03-17
Business Address
-- LUIS A ORTIZ P A
2015 GRAND CONCOURSE
BRONX, NY 10453-4303
Phone number: 718-731-2020
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Mailing Address
-- LUIS A ORTIZ P A
2015 GRAND CONCOURSE
BRONX, NY 10453-4303
Phone number: 718-731-2020
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