# BLUE SPECTRUM FAMILY HEALTH NP PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194326983
- **Authorized official:** DR. JUAN CARLOS ORTIZ CALCANO DNP, FNP-BC (BUSINESS OWNER/FAMILY HEALTH NP)
- **Authorized official phone:** (718) 200-8094

## Contact information

- **Practice address:** 2 OCEAN DR APT W09F, BROOKLYN, NY 11224-3768
- **Practice address phone:** (718) 200-8094
- **Practice address fax:** (718) 228-3868
- **Mailing address:** 13201 ROOSEVELT AVE PMB 818149, FLUSHING, NY 11354-5258
- **Mailing address phone:** (718) 200-8094
- **Mailing address fax:** (718) 228-3868

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/06/2020
- **Last updated:** 04/25/2024