Individual
BERYLE ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
31 LUQUER ST, BROOKLYN, NY 11231-1816
(347) 403-2593
Mailing address
31 LUQUER ST, BROOKLYN, NY 11231-1816
(347) 403-2593
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
311754
NY
Other
Enumeration date
03/08/2013
Last updated
03/08/2013
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