Individual
MARIE CARMEN ORTIZ MONTANEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SSP
Contact information
Practice address
1401 AVENUE I, BROOKLYN, NY 11230-3003
(718) 377-7507
Mailing address
536 E 79TH ST APT 5A, NEW YORK, NY 10075-1514
(787) 307-0678
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
2925771
NY
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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