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Individual

RAISHA MASSARI ORTIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
400 FORT HILL AVE, CANANDAIGUA, NY 14424-1159
(585) 394-2000
Mailing address
2550 E SHERMAN HOLLOW RD, PENN YAN, NY 14527-9306
(787) 479-0788

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
077148
PR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11022645
FL

Other

Enumeration date
04/30/2021
Last updated
12/29/2022
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