Provider Demographics
NPI:1639495179
Name:ORSINI, JOSE ENRIQUE (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:ENRIQUE
Last Name:ORSINI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:JOSE
Other - Middle Name:
Other - Last Name:ORSINI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:249 E 118TH ST
Mailing Address - Street 2:APARTMENT 3D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10035-4284
Mailing Address - Country:US
Mailing Address - Phone:718-963-8000
Mailing Address - Fax:718-963-8753
Practice Address - Street 1:760 BROADWAY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11206-5317
Practice Address - Country:US
Practice Address - Phone:718-963-8000
Practice Address - Fax:718-963-8753
Is Sole Proprietor?:No
Enumeration Date:2010-04-08
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY61-003489146D00000X, 174400000X
NY268539207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No146D00000XEmergency Medical Service ProvidersPersonal Emergency Response Attendant
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine