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Individual

ELENA MARIA ORTIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA C

Contact information

Practice address
418-420 5TH AVENUE, BROOKLYN, NY 11215
(718) 965-2273
Mailing address
1345 RXR PLZ FL 13, UNIONDALE, NY 11556-1301
(516) 453-0435

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
003825
NY
363A00000X
Physician Assistant
Primary
9109467
FL
363A00000X
Physician Assistant
PA14129
CA

Other

Enumeration date
05/24/2006
Last updated
08/09/2021
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