Individual
MISS CHANTAL AYLIN DEL ORBE ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1212 GRANT AVE APT 6D, BRONX, NY 10456-3163
(917) 460-6180
Mailing address
1212 GRANT AVE APT 6D, BRONX, NY 10456-3163
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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