Individual
MICHAEL J ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRPA-P
Contact information
Practice address
412 MAIN ST, POUGHKEEPSIE, NY 12601-3312
(845) 486-8880
Mailing address
28 MARKET ST APT 1, WAPPINGERS FALLS, NY 12590-2368
(845) 420-2119
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CRPA-P-6138
NY
Other
Enumeration date
11/21/2022
Last updated
12/08/2022
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