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Individual

MR. HUMBERTO ORTIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
147 PRINCE ST, BROOKLYN, NY 11201-3007
(718) 374-5949
Mailing address
147 PRINCE ST, BROOKLYN, NY 11201

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary

Other

Enumeration date
08/23/2017
Last updated
08/23/2017
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  • EDI platform