Individual
MRS. ANN MARIE ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
347 EAST AVE, ROCHESTER, NY 14604-2617
(585) 454-4930
(585) 325-6059
Mailing address
132 NORTHAVEN TER, ROCHESTER, NY 14621-5518
(585) 313-5327
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
227376
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
227376
LICENSE
NY
Enumeration date
02/03/2010
Last updated
02/03/2010
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