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Organization
BLUE SPECTRUM FAMILY HEALTH NP PLLC
Active
Organization
BLUE SPECTRUM FAMILY HEALTH NP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN CARLOS ORTIZ CALCANO DNP, FNP-BC (BUSINESS OWNER/FAMILY HEALTH NP)
(718) 200-8094
Entity
Organization
Contact information
Practice address
2 OCEAN DR APT W09F, BROOKLYN, NY 11224-3768
(718) 200-8094
(718) 228-3868
Mailing address
13201 ROOSEVELT AVE PMB 818149, FLUSHING, NY 11354-5258
(718) 200-8094
(718) 228-3868
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
NULL
261QH0100X
Health Service Clinic/Center
—
NULL
261QP2300X
Primary Care Clinic/Center
—
NULL
261QU0200X
Urgent Care Clinic/Center
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/06/2020
Last updated
04/25/2024
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