Individual
RAFAEL ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 W CLOVE MOUNTAIN RD, LAGRANGEVILLE, NY 12540-6819
(845) 592-0922
Mailing address
10 W CLOVE MOUNTAIN RD, LAGRANGEVILLE, NY 12540-6819
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
01/20/2017
Last updated
01/20/2017
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