Individual
DR. CAMILO ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
148 WHITSON ST, FOREST HILLS, NY 11375-6854
(917) 324-9503
Mailing address
148 WHITSON STREET, FOREST HILLS, NY 11375
(917) 324-9503
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
017589
NY
Other
Enumeration date
03/12/2013
Last updated
03/12/2013
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