Individual
RAY ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
14839 HILLSIDE AVE, JAMAICA, NY 11435-3330
(718) 206-1368
(718) 206-9141
Mailing address
14839 HILLSIDE AVE, JAMAICA, NY 11435-3330
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
10868
NY
Other
Enumeration date
03/27/2014
Last updated
03/27/2014
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