Individual
CRISTAL ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3111 BUELL ST, EAST ELMHURST, NY 11369-1914
(646) 249-7414
Mailing address
3111 BUELL ST, EAST ELMHURST, NY 11369-1914
(646) 249-7414
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
18-P130711-01
NY
Other
Enumeration date
09/02/2024
Last updated
09/02/2024
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