Individual
ANGELA A ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
490 DELAWARE AVE, BUFFALO, NY 14202-1304
(716) 322-2780
Mailing address
490 DELAWARE AVE, BUFFALO, NY 14202-1304
(716) 322-2780
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
326629-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1640000000
—
NY
Enumeration date
03/04/2021
Last updated
03/04/2021
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