Individual
MRS. ANNETTE ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
921 LOCKWOOD DR, PEEKSKILL, NY 10566-1843
(914) 215-4212
Mailing address
921 LOCKWOOD DR, PEEKSKILL, NY 10566-1843
(914) 215-4212
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
298722-1
NY
Other
Enumeration date
05/29/2013
Last updated
05/29/2013
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