Individual
MR. LUIS DARIO ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.ED
Contact information
Practice address
111 LIVINGSTON AVE., BROOKLYN, NY 11221
(718) 625-4055
Mailing address
126 ONTARIO AVE., STATEN ISLAND, NY 10301
(718) 273-1754
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
NY
Other
Enumeration date
06/15/2012
Last updated
07/21/2022
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