National Provider Identifier
Carlos Ortega Ceballo
Carlos Ortega Ceballo is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Elmira, NY and a listed phone number of (347) 664-0051.
Profile Overview
- NPI
- 1053845602
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- April 19, 2017
- Last Updated
- August 05, 2024
Practice Location
- 810 Larchmont RD
- Elmira, NY 14905-1219
Phone: (347) 664-0051
Specialties
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1053845602
- Entity Type
- Individual
- Last Name
- Ortega Ceballo
- First Name
- Carlos
- Mailing Street Address
- 810 Larchmont RD
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14905-1219
- Mailing Country
- US
- Mailing Phone
- (347) 664-0051
- Practice Street Address
- 810 Larchmont RD
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14905-1219
- Practice Country
- US
- Practice Phone
- (347) 664-0051
- Enumeration Date
- April 19, 2017
- Last Updated
- August 05, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- August 05, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X)