Individual
KYARA LIZ ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
624 HAWKINS AVE, LAKE RONKONKOMA, NY 11779-2375
(631) 240-3579
Mailing address
1523 PINE ACRES BLVD, BAY SHORE, NY 11706-2427
(631) 860-8001
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/08/2024
Last updated
05/08/2024
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