Individual
MRS. CLEXIDA A ORTEDGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
1928 HOLLAND AVE # G, BRONX, NY 10462-3299
(646) 399-9192
Mailing address
1928 HOLLAND AVE # G, BRONX, NY 10462-3299
(646) 399-9192
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
296278031
NY
Other
Enumeration date
06/05/2012
Last updated
06/05/2012
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