Individual
BRENDA ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS ED.
Contact information
Practice address
3058 BAILEY AVE APT 1S, BRONX, NY 10463-5820
(646) 413-4401
Mailing address
3058 BAILEY AVE APT 1S, BRONX, NY 10463-5820
(646) 413-4401
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NY
252Y00000X
Early Intervention Provider Agency
1120892
NY
Other
Enumeration date
06/19/2012
Last updated
04/18/2023
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