Provider Demographics
NPI:1760764674
Name:ORTIZ-CARDENAS, CLAUDIA P (MD)
Entity Type:Individual
Prefix:DR
First Name:CLAUDIA
Middle Name:P
Last Name:ORTIZ-CARDENAS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:374 STOCKHOLM ST
Mailing Address - Street 2:STOCKHOLM OBSTETRICS AND GYNECOLOGIAL SERVICES, PC
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11237-4006
Mailing Address - Country:US
Mailing Address - Phone:718-963-7676
Mailing Address - Fax:718-963-6667
Practice Address - Street 1:374 STOCKHOLM ST
Practice Address - Street 2:WYCKOFF HIEGHTS MEDICAL CENTER
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11237-4006
Practice Address - Country:US
Practice Address - Phone:718-963-7676
Practice Address - Fax:718-963-6667
Is Sole Proprietor?:No
Enumeration Date:2011-09-16
Last Update Date:2015-09-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT49667207V00000X, 207VG0400X, 207VX0000X
NY281639207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
No207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004236130Medicaid