Individual
BONNIE LYNN ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10818 QUEENS BLVD STE 4A5, FOREST HILLS, NY 11375-4748
(212) 804-7659
Mailing address
10818 QUEENS BLVD STE 4A5, FOREST HILLS, NY 11375-4748
(212) 804-7659
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
662625
NY
Other
Enumeration date
01/24/2023
Last updated
03/07/2023
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