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Contact Information

BEVERLY H ORTIZ, M.D., F.A.C.O.G.,
20 RIVERLEIGH AVE
SUITE 2B
RIVERHEAD, NY11901
 Phone: 631-298-4655
 Fax: 631-298-7569
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
 

Gynecologic Oncology

207VX0201X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for BEVERLY H ORTIZ · (Female)

NPI # 1639110802
Status Active
Credentials M.D., F.A.C.O.G.,
Entity Individual
Enumeration date 06/09/2006
Last updated 10/26/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # ME85320
  • NY License # 199062
Hospital affiliation(s)
  • JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON - (Acute Care)
    75 NORTH COUNTRY ROAD
    PORT JEFFERSON, NY 11777
  • PECONIC BAY MEDICAL CENTER - (Acute Care)
    1300 ROANOKE AVENUE
    RIVERHEAD, NY 11901
  • ST CHARLES HOSPITAL - (Acute Care)
    200 BELLE TERRE ROAD
    PORT JEFFERSON, NY 11777
  • UNIVERSITY HOSPITAL ( STONY BROOK ) - (Acute Care)
    HEALTH SCIENCES CENTER SUNY
    STONY BROOK, NY 11794
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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