Individual
CAROL ORTEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
46 BONIELLO DR, MAHOPAC, NY 10541-2808
(646) 220-4999
Mailing address
46 BONIELLO DR, MAHOPAC, NY 10541-2808
(646) 220-4999
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
593688
NY
363LF0000X
Family Nurse Practitioner
353664
NY
Other
Enumeration date
05/21/2026
Last updated
05/21/2026
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