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1073597902

NPI Code Detail

MEDICARE: YAEL A ORTIZ DDS

MEDICARE: YAEL A ORTIZ DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	046385	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	521860379	OTHER		AETNA
2	13058	OTHER		CIGNA
3	521860379	OTHER		DELTA DENTAL
4	DG26TH521860379-2-00	OTHER		CAREFIRST
5	0017022	OTHER		DORAL
6	054635	OTHER		JHHC
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	521860379	OTHER		METLIFE

General Provider Information

NPI Number	:	1073597902
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YAEL A ORTIZ DDS

Provider Business Mailing Address
First Line	:	2265 THIRD AVENUE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10035-2206
Country	:	US
Telephone Number	:	212-289-6650
Fax Number	:	212-289-0280

Provider Business Practice Location Address
First Line	:	2265 3RD AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10035-2231
Country	:	US
Telephone Number	:	212-289-6650
Fax Number	:	212-289-0280

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/05/2005
Last Update Date	:	09/29/2016

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Directions to “ YAEL A ORTIZ DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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