Individual
MISS AMANDA J ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
26 DUMONT AVE, STATEN ISLAND, NY 10305-1450
(718) 667-8510
Mailing address
55 CLINTON PL APT 1812, NEW ROCHELLE, NY 10801-6739
(917) 282-9587
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
904256
NY
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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