Individual
MISS JESSICA ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2021 GRAND CONCOURSE, BRONX, NY 10453-4304
(718) 960-0300
Mailing address
3830 BRONX BLVD APT 3G, BRONX, NY 10467-5237
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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