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NPI Code Detail

MEDICARE: CARMEN PILAR ORTEGA LPN

MEDICARE:   CARMEN PILAR ORTEGA  LPN
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
1164W00000XLicensed Practical Nurse257783NY

General Provider Information

NPI Number : 1861066839
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARMEN PILAR ORTEGA LPN
Provider Business Mailing Address
First Line : 34 STILLMAN RD
Second Line :
City : GLEN COVE
State : NY
Zip : 11542-4031
Country : US
Telephone Number : 516-669-7815
Fax Number :
Provider Business Practice Location Address
First Line : 34 STILLMAN RD
Second Line :
City : GLEN COVE
State : NY
Zip : 11542-4031
Country : US
Telephone Number : 516-669-7815
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2021
Last Update Date : 05/14/2021

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Directions to “ CARMEN PILAR ORTEGA LPN” Practice Location

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