Individual
JENNIFER ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 QUADE ST, GLENS FALLS, NY 12801-2724
(518) 792-3178
Mailing address
31 CARDINAL WAY, FORT ANN, NY 12827-2811
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
663788-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146001855
—
NY
Enumeration date
11/26/2019
Last updated
11/26/2019
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