Individual
MAYRA ZOE ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
445 HAMILTON AVE, 1102, WHITE PLAINS, NY 10601-1807
(917) 363-5706
Mailing address
445 HAMILTON AVE, 1102, WHITE PLAINS, NY 10601-1807
(917) 363-5706
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
15769
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02720547
—
NY
Enumeration date
08/01/2006
Last updated
06/14/2013
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