Ortiz, G Michael

Ortiz, G Michael is an individual health care provider with primary practice located at 19 West Ave Suite 103, Saratoga Springs NY 12866-6049. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Ortiz, G Michael can be contacted via phone (518) 583-0111.

Contact Information

Primary practice address
19 West Ave Suite 103 Saratoga Springs NY 12866-6049
Fax: (518) 583-2426
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 195818-3 New York

Profile Details

NPI number 1023068640
LBN Legal business name Ortiz, G Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Apr 1st, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023068640 NPPES
New York MEDICAID 01492488
New York Other 10001523
New York Other P00291581
New York Other 1099054
New York Other 24118
New York Other 000434014010
New York Other 929454
New York Other G004S24710

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