Individual
AMANDA ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
605 EMERALD ST APT 1, BROOKLYN, NY 11208-5103
(646) 601-2038
Mailing address
605 EMERALD ST APT 1, BROOKLYN, NY 11208-5103
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NY
Other
Enumeration date
10/02/2017
Last updated
10/02/2017
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